О КОНФЕРЕНЦИИ
ПРЕЗЕНТАЦИИ ДОКЛАДОВ
УЧАСТНИКИ
ENGLISH VERSION
BALTIMIX.RU
APPLICATION FIBROMIX-2018
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Конференция FIBROIMIX
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About FibroMix-2018
PARTICIPANT
(full legal name of organisation)
*
INN
(Taxpayer Identification Number)
KPP
(Tax Registration Reason Code)
represented by
(position, chief's name)
*
acting on the basis
*
Legal address
*
Mailing address
*
Phone
*
E-mail
*
Contact person
*
REGISTER OUR PARTICIPATION IN THE CONFERENCE:
ATT! All fields are required!
Surname and name of the participant 1
*
Choose variant:
select from the drop-down list
*
BUSINESS (280 euro)
SPEAKER (550 euro)
Position of participant
*
E-mail
*
Mobile phone
*
Surname and name of the participant 2
Choose variant:
select from the drop-down list
BUSINESS (280 euro)
SPEAKER (550 euro)
Position of participant
E-mail
Mobile phone
Surname and name of the participant 3
Choose variant:
select from the drop-down list
BUSINESS (280 euro)
SPEAKER (550 euro)
Position of participant
E-mail
Mobile phone
BOOK A ROOM IN HOTEL:
*
YES
NOT
EXHIBITION AREA:
PREMIUM 16 sq.m. (450 EUR)
BUSINESS 8 sq.m. (280 EUR)
STANDART 4 sq.m. (170 EUR)
LIGHT 2 sq.m. (100 EUR)
Type the characters you see in the picture
*