APPLICATION FORM

Fields with * symbol are compulsory to fill in.

Name* :

Family name*:

Company*:

Country*:

Position*:

Mobile phone*:

E-mail*:

Repeat e-mail*:

Select a date for your stay*:

from to

Choose a hotel*:

Participation in a tour to Sandomierz:

Registration for the trip has ended - no places available

Food restrictions:

(*) I hereby declare that I am familiar with Conference 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 Conference 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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