Registration

Registrace na INTERCLEAN 2023 byla ukončena.

Ticket Type

Contact Info

Billing Info

Other persons

Summary

Select the type of the ticket*

APaČ Member 2900 CZK + VAT

APaČ Non-Member 5500 CZK + VAT

SPaČ Member 3900 CZK + VAT

Partner/Exhibitor - according to the contract

Name*

Surname*

Position

Email*

Phone*

Company/Name*

Street, number*

Town*

ZIP Code*

Country*

Identification number*

Tax identification number

Number of other people from the same company

OTHER PERSON 1

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 2

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 3

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 4

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 5

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 6

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 7

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 8

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 9

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 10

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 11

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 12

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 13

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 14

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 15

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 16

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 17

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 18

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 19

Name*

Surname*

Position

Phone*

Email*

OTHER PERSON 20

Name*

Surname*

Position

Phone*

Email*

PAYMENT INFORMATION

Based on your application, we will send you information on payment and accommodation options to the email you entered.

CANCELLATION POLICY

A request to cancel an invoice due to non-participation in the conference can be submitted until September 28, 2023. In this case, the fee will be refunded in full.

CONSENT TO DATA PROCESSING*

By sending this form, I consciously agree to the processing of my personal data in accordance with Act No. 101/2000 Coll. and with their inclusion in our database, for an indefinite period of time, with the knowledge that this is only the data absolutely necessary to be able to send you information about the order and for possible follow-up communication. These data may not be provided to third parties or used for other purposes. I agree to the processing of personal data

Complete information on the processing of personal data can be found HERE.

TERMS AND CONDITIONS*

By submitting this form, I undertake to pay the price for participating in this event and express my agreement to the terms and conditions of the event.

You can find the complete terms and conditions HERE.

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