REGISTRATION OF PARTICIPATION IN AUTO FORUM SUPPLIERS’ DAY2015 I confirm participation (registration before 8.05.2015) 1300 zł or 325 € I confirm participation (registration between 8.05- 31.05.2015) 1400 zł or 350 € I confirm participation (registration after 1.06 2015) 1500 zł or 375 € I order advertising in the conference catalogue I order advertising insert 900 zł or 225 € 1000 zł or 250 € * All prices are net. Do not include 23% VAT. The registration form must be completed and sent by fax to +48 71 352 83 10 or as a scanned document copy by e-mail: [email protected] Participant’s data: (PLEASE FILL IN BLOCK CAPITALS) Company name: Participant’s name and surname: Position: Phone number: Fax: Participant’s e-mail address: Data for invoicing: (PLEASE FILL IN BLOCK CAPITALS) Full company name: Street, postal code, city, country: Tax identification number (VAT) E-mail of person in charge of registration: bank transfer data: transfer addressee Bank name: Account number (for PLN transfers): Account number (for Euro transfers): BIC (SWIFT CODE) IBAN: ART STUDIO ROMAN PIETRZYK BGŻ S.A. 57 2030 0045 1110 0000 0290 5490 20 2030 0045 3110 0000 0028 1440 GOPZPLPW PL + ACCOUNT NUMBER Please give an annotation in the transfer title Auto Forum Suppliers’ Day + participants’ name and surename REGISTRATION OF PARTICIPATION IN AUTO FORUM SUPPLIERS’ DAY2015 FOR YOUR INFORMATION Participation. The participation fee includes participation in the event, 18-19 June 2015, the evening banquet and all the attractions, lunches, coffee breaks, conference materials, simultaneous translation of the conference session. The fee does not include accommodation and travel costs. I accept the terms and rules of participation. Advertising in the catalog. Conference brochure is professionally edited and published publication contains information about the conference, partners, industry and advertising. It will be distributed to the participants, partners, media, sponsors, interested companies and institutions. Quantity approx. 500 pieces. A4 ad format. Advertising insert. Client’s promotional material delivered to the organizer of the Heat Treatment Forum for distribution among the participants such as: flyers, catalogues of products, CD / DVD or gadgets. They will be placed in the conference materials for each of the participants. Time and venue. AutoForum Suppliers' Day will be held on 18-19 June 2015 in Opole, Exhibition and Congress Center (Centrum Wystawienniczo-Kongresowe), Wroclawska street. Hotel. We have reserved a number of rooms in the DeSilva hotel in Opole. The participation fee does not include the cost of accommodation and other services provided by the hotel. Participants book rooms and make payment on their own. To benefit from a special discount please quote the password „AutoForum”, while booking a hotel room. (special price about 230 pln +/- 60€) http://www.desilva.pl/news/index_en.htm Regulations. 1. I hereby confirm my order and I agree to the issue of an invoice without my signature. I also agree to receive correspondence on the Suppliers' Day / Business Day. I declare that payment will be settled within 7 days of the registration form submission, but no later than 3 working days before the event. 2. Cancellation of exhibition booth order will be charged 50% of hiring cost. Cancellation of participation in the event up to the 1st of June 2015 will be charged 400 pln (or 100€) per person. In case of cancellation of participation between the 1st and the 10th of June 2015 the is 50% of costs. Absence during the event does not entitle to reimbursement for participation and for the stand. Trade talks are free of charge. They are gratuitous promotional items from the organizer. Participant’s statement. I hereby confirm my order for promotional stand during the Auto Forum Suppliers’ Day 2015 conference and I agree to the issue of an invoice without my signature. I agree to the processing of personal data in the field related to participation, documentation and correspondence, mail or e-mail. I declare that payment will be settled within 7 days of the registration form submission, but no later than 3 working days before the event. _________________________________ First name and surname of authorised person __________ date _________________ stamp and signature bank transfer data: transfer addressee Bank name: Account number (for PLN transfers): Account number (for Euro transfers): BIC (SWIFT CODE) IBAN: ART STUDIO ROMAN PIETRZYK BGŻ S.A. 57 2030 0045 1110 0000 0290 5490 20 2030 0045 3110 0000 0028 1440 GOPZPLPW PL + ACCOUNT NUMBER Please give an annotation in the transfer title Auto Forum Suppliers’ Day + participants’ name and surename
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