12 - 14 June 2012

Registration form

	Company profile
Full name
Type of activity
Company address
ZIP code	Town
Phone	Fax
OIB/PIB
* E-mail
	Number of Company Representatives
Number	In letters
	Registered delegates (* please fill in the separate forms for each delegate)
Delegate 1	Delegate 4
Delegate 2	Delegate 5
Delegate 3	Delegate 6
	(* Confirmation of receipt of your registration will be sent to the e-mail address you entered above)

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	Delegate details 1
First name
Last Name
Function
Phone
Mobile phone
E-mail
	Delegate shall book accommodation on his/her own
	Hotel booking
	Delegate wishes the organizer to book accommodation for him/her
Room	1/1 1/2
	Name of the person who you share your room with
Arrival Date	Departure Date

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	Delegate details 2
First name
Last Name
Function
Phone
Mobile phone
E-mail
	Delegate shall book accommodation on his/her own
	Hotel booking
	Delegate wishes the organizer to book accommodation for him/her
Room	1/1 1/2
	Name of the person who you share your room with
Arrival Date	Departure Date

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	Delegate details 3
First name
Last Name
Function
Phone
Mobile phone
E-mail
	Delegate shall book accommodation on his/her own
	Hotel booking
	Delegate wishes the organizer to book accommodation for him/her
Room	1/1 1/2
	Name of the person who you share your room with
Arrival Date	Departure Date

close this

	Delegate details 4
First name
Last Name
Function
Phone
Mobile phone
E-mail
	Delegate shall book accommodation on his/her own
	Hotel booking
	Delegate wishes the organizer to book accommodation for him/her
Room	1/1 1/2
	Name of the person who you share your room with
Arrival Date	Departure Date

close this

	Delegate details 5
First name
Last Name
Function
Phone
Mobile phone
E-mail
	Delegate shall book accommodation on his/her own
	Hotel booking
	Delegate wishes the organizer to book accommodation for him/her
Room	1/1 1/2
	Name of the person who you share your room with
Arrival Date	Departure Date

close this

	Delegate details 6
First name
Last Name
Function
Phone
Mobile phone
E-mail
	Delegate shall book accommodation on his/her own
	Hotel booking
	Delegate wishes the organizer to book accommodation for him/her
Room	1/1 1/2
	Name of the person who you share your room with
Arrival Date	Departure Date

You can download the registration form in PDF here.

*Upon receiving the registration form, the organizer will send an invoice which needs to be paid in entirety by June 5th the latest.