Informacje podstawowe * First name and last name * Position * Name of company/institution * Correspondence address * Contact number Cell phone number * Email * Form of participation Personal participation On-line participation * Participation Participation free-of-charge Paid participation (participation guaranteed) Free-of-charge participation The decision to confirm free-of-charge participation is made by the Organizer on the basis of a correctly completed application form. * Udział 5th-6th october 5th october 6th october Paid share participation The decision on confirming the paid participation is made by the Organiser on the basis of a correctly completed application form and the payment made within the due term. Udział 5th-6th october – 200 zł + 23% VAT 5th october – 150 zł + 23% VAT 6th october – 100 zł + 23% VAT Invoice information Name of company/institution NIP Street Postcode City Correspondence address (jeżeli inny, niż podany powyżej) Statements I hereby declare that I acknowledged the content of the Regulation of attendance in the substansive side, which is located on the site www.osg2019.pl and I accept all the points. By sending the participation declaration, I agree to include my data in the database of Europejskie Centrum Biznesu Sp. J. I also agree on the processing of the data for marketing purposes according to Act as of 08.29.1997 on data protection. Provision of the data is voluntary and the person who provides it has the right to view the data as well as to make corrections. * I agree to process my personal data included in the registration form above by the personal data administrator – Europejskie Centrum Biznesu M. Różańska, K. Karaś Sp. j. with the seat in Lublin, 1 Maja 13 A/3 Street, KRS number 0000165565 for the marketing purposes. I have been informed about my right to view, introduce corrections and demand to stop processing my data. YES I agree to process my personal data included in the registration form above by the personal data administrator – Europejskie Centrum Biznesu M Różańska, K. Karaś Sp. j. with the seat in Lublin, 1 Maja 13 A/3 Street, KRS number 0000165565 for marketing purposes specifically: sending adverts and promotional materials and newsletters. I have been informed about my right to view, introduce corrections and demand to stop processing my data. YES * I provide my personal data voluntarily and I declare the data is true. YES Remarks