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  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 zł   Double room for 320 zł
  Single room for 380 zł
     
Hotel *** Appartment for 400 zł   Double room for 290 zł
  Single room for 260 zł
     
Hotel ** Appartment for 280 zł   Double room for 120 zł
  Single room for 90 zł   Triple room for 180 zł


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Date
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Signature