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EBHC Symposium


APPLICATION FORM
Name and surname: *
Position:
Company:
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I would like to take part in EBHC Symposium as a representative of: *
a public institution
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Please make out a VAT invoice:
YES: NO:
 
I declare that conditions of participation are known to me and oblige to pay all the amount required by the order.


I agree for processing of my personal data as required by organization of EHBC Symposium, according to the Data Protection Act of August 29th, 1997 (Dz. U. 1997 r. Nr 133 poz. 833). I do not apply for participation, but I would like to receive information concerning activity of CEESTAHC Society


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