APPLICATION FORM

First name

Last name

Email

Telephone

Institution / Company

Position

City

I consent to the processing of my personal data, including my image, in connection with the organization of the conference under the Project entitled SMART ŻYWIEC - (r) evolution.

See the entire information clause

Publicity of the image

I consent to the publication of my image on commemorative photos, group photos, audio and video recordings aimed at promotion and coverage of the conference organized, which will be available on the Internet

APPLICATION FORM

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