APPLICATION FORM

Filling in the fields with the * symbol is obligatory.

Name*:

Family name*:

Company*:

Country*:

Position*:

Mobile phone no.*:

E-mail*:

Repeat e-mail*:

Select a date for your stay*:

from to

Participation in a trip to the Radom Open-Air Museum:

Participation in a tour of Radom’s industrial symbols:

Food restrictions:

Are you planning to stay for the festive dinner on Day II?

Are you interested in participating in technical meetings on Day III?

Select a topic for your technical meeting:

(*) I hereby declare that I am familiar with Event Rules and Regulations.

(*) I consent to the processing of my personal data, by RADWAG Wagi Elektroniczne Witold Lewandowski, Toruńska 5, 26-600 Radom, for the purposes regarding organisation of the event (in conformity with Article 6(1a) RODO).

I consent to the processing of my personal data by the Event Organiser, RADWAG Wagi Elektroniczne Witold Lewandowski, Toruńska 5, 26-600 Radom, in order to receive commercial and marketing information regarding RADWAG products.

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