Note. Please, fill this
application form for Polish Priters Congress 1999 then
print it and sent it via fax to our office at following
telephone number +48 71/ 3735627.
The deadline for applications from
participants, sponsors and supporting companies is 30
june 1999.
______________________________________________
First and last name
______________________________________________
Firm or Institution
______________________________________________
Position
______________________________________________
Address
____________________________
Telephone |
_________________
Fax |
I would like to participate in
(please mark checkbox at position that suits you the
best):
1.
 |
the
whole duration of Congress
(8-12 of September 1999)
I agree to pay 990 PLN. |
2.
 |
the
first day only
(9th of September 1999)
I agree to pay 420 PLN. |
3.
 |
the
second day only
(10th of September 1999)
I agree to pay 420 PLN. |
4.
 |
the
third day only
(11th of September 1999)
I agree to pay 420 PLN. |
On
reveiving of your application well provide youu with
complete information materials including detailed program
and application form.
We are offering following accomodation options (please
mark your choice):
Hotel **** |
Appartment |
for 600 z³ |
|
Double room |
for 320 z³ |
|
Single room |
for 380 z³
|
|
|
|
Hotel
*** |
Appartment |
for
400 z³ |
|
Double room |
for
290 z³ |
|
Single room |
for
260 z³
|
|
|
|
Hotel ** |
Appartment |
for 280 z³ |
|
Double room |
for 120 z³ |
|
Single room |
for 90 z³ |
|
Triple room |
for 180 z³ |
|
_________________
Date |
___________
Signature |
|