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ForumSPA - 2008




E S S E N T I A L    P A T R O N


Nova 2




O R G A N I Z E R` S    O F F I C E


COMFORTUM

ul. Zielona 8
90-414 Łódź
tel.: +48 42 631 01 84
fax: +48 630 61 11




Application form
 
Participant’s package includes:
  • Participation in all lectures and presentations at the conference
  • A set of teaching materials
  • Each participant will receive a prestigious certificate confirming participation in the Conference
  • Invitation to the evening gala and party
  • 2 accommodations for the night
  • Full board and possibility to use the Wellness facilities (pools, saunas)

    • Up till 30.05.2008 1490 PLN (-50% for the second person)
    From 01.06.2008 2400 PLN (-30% for the second person)

     

    There is a possibility to participate in the conference (without accommodations and board)

    Up till 30.05.2008 1090 PLN (-50% for the second person)
    From 01.06.2008 2000 PLN (-30% for the second person)

    Download the form in pdf format, or fill in the form online.

    In both cases printed forms should be signed, and its scan should be sent via electronic mail (l.michalowski@comfortum.pl) or via fax at +48 42 630 61 11 or via traditional mail at the following address: Comfortum, 8 Zielona Street, 90-414 Łódź

    Application form.pdf

    Company data
    Full name of the company:
    Post code:
    City:
    Street, building numer, apartment number:
    Tax ID:

    Contacted Person Data
    Name and Surname:
    Phone, Fax number:
    E-mail adress:

    Ordering data
    Number of ordered participant`s cards:
    Form of participation:
    Participation in the conference
    Cost 1900 PLN (from 30.05.2008 2000 PLN)
    Full package (accommodation, banquet, conference)
    Cost 1490 PLN (from 30.05.2008 2400 PLN)
    All the prices include VAT

    Participants’ data
    Full name (1):
    Position (1):
    Phone (1):
    E-mail (1):
     

    I hereby agree to process my personal data for the needs of Comfortum, (according to Law on Personal Data Protection from 29 August 1997 (Dziennik Ustaw No.101, item 926, 2002)


          


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