Evensys Form

Conferinta Future of Media 2017:
200 RON + TVA

Detaliile participantilor (Attendee(s) Details)

Nr. de participanti (No. of attendees):

Participant 1

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 2

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 3

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 4

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 5

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 6

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 7

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 8

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 9

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Participant 10

*Nume
(Full Name):

*Functia
(Job Title):

*Email:

Date facturare (Billing details)

Cod promotional
(Discount code):

*Persoana de contact
(Contact person):

*Telefon
(Telephone):

*Email:

Factura Persoana Fizica
(Individual)

*Companie
(Company):

*Adresa
(Address):

*Oras
(City):

*Tara
(Country):

*Nr. registrul comertului
(Trade registry number):

*CNP:

*CUI
(VAT No):

Banca
(Bank):

Cont IBAN
(Bank account):

Sunt de acord cu termenii si conditiile de participare
(I agree with Terms and Conditions)

Conferinta Future of Media 2017: 200 RON + TVA

Conferinta Future of Media 2017:
200 RON + TVA