Application form

ROZRÓD MAŁYCH ZWIERZĄT

WARSZAWA, 4-5.03.2017 r.

Your name *

Address (street and number) *

City *

Postal code *

Mobile phone *

Landline

E-mail *

Number of pursuing the proffesion *

Phone number to the contact person *

If you wish to receive a VAT invoice, fill in the fields below

Full company name

Address (street and number)

Address: (city, zip number, country)

Tax Identification Number

I've read and accept the regulations of the above educational event (The regulations are available on www.vet4vet.info in the file describing the event of your interest)

I agree to receive appropriate communications from Vet4Vet regarding its own services and those of its partners. I understand that Vet4Vet will not share my personal details with third parties and will work in strict accordance with national and international (EU) regulations. In the event that I wish to terminate using my data by Vet4Vet I can inform Vet4Vet about my decision and will then cease to receive further communications from Vet4Vet