If you would like to register please fill in the following registration form.

(fields marked with an asterisk "*" are required for successful registration).

Candidate's details:

*Company:_
*Sector:_
Other sector:_
     
*How did you find out about_
conference?:_
     
_
   
*Name:_
*Surname:_
*Position:_
*Street:_
*Postal code, *city:_
___
*Country:_
*Phone (xx-xxxxxxx):_
Fax (xx-xxxxxxx):_
*Email:_
Website:_
*Fiscal No :_
   

*Method of_
payment:_

   
   
 
I give my permission for the processing of my personal date included in this form which will be used for marketing purposes of Roadshow Polska ( in accordance with the Act of 29.08.1997 on The Protection of Personal Date , Journal of Laws No.133, item 883 amended).

Your registration via online registration service indicates your acknowledgement and acceptance of registration terms.
   
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