Registration | http://conference-eceg.pl/en

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Registration form

Title/degree *

First name *

Surname *

Gender *

E-mail *

Participation type *

Diet *

Accompanying Person / Participant sharing the room

To reserve the room

Company/Organization

Address *

Town *

Postal code *

Country *

Phone number *

Preceed phone number with country prefix (for example: +48)

Fax

Payment method *

Do you request an invoice? *

Customer

Please include name of participant/accompanying person for whom the payment is made, for example: University of Warsaw (John Smith)

Address

Town

Postal code

Country

Tax ID number (NIP)

* I declare that I have read and accept Terms&Conditions of registration and privacy notice.