Oils&Enviroment - Politechnika Gdańska

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Oils & Fuels for Sustainable Development Registration Form

Note: Fields marked in red must be completed!

Please fill in information that let us identify you
Degree/Title First Name Surname Sex




Choose a login name and password to register to the system:

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Password

Retype password


 


Enter a valid email address for us to contact you:
Email


Institution details:

Institution

Department

Address

Postcode   City
 
Country


Telephone (incl. Country code)

2nd Telephone
 
Fax


Invoice details:
Would you like to receive an invoice:

Recipient:

Name/ Institution

Address

Postcode    City
 
VAT No. (NIP)


Delivery address:

Name / Institution

Address

Postcode  City
 

  I agree to receive an invoice without a signature and I consent that my personal data may be processed by the Conference organizer to enhance the conference organization. I am aware of my right to inspect the data and to correct it. The organizers assure that your data shall not be made available to other companies without prior notification and your consent. The data is protected under the Data Protection Act (Dz. U. Nr 133/97, pos. 883).