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Application form for the Conference Bielsko-BiaWOW!

Influence of culture on city image and development
18 September 2009, Galeria Bielska BWA, Bielsko-Biała


This application form can be used by one person only. To participate in the Conference please fill in the form below and wait for our confirmation of acceptance.

Reservations will end on 10 September 2009 or before that date once all the available seats have been reserved. Confirmations of acceptance will be e-mailed until 11 September 2009.

Additional information:

- Conference participation is free.
- Organizers do not cover accommodation or traveling costs of the participants.

I wish to apply for the participation in the Bielsko-BiaWOW Conference.

COMPANY/INSTITUTION ADDRESS ADDITIONAL INFORMATION:
  vegetarian
  meat
ASSISTANT *:
yes
no
*The Gallery building is not adapted to the requirements of disabled persons. Any individuals who need help to move around the building will be provided with an assistant.
HOW DID YOU LEARN ABOUT THE CONFERENCE?
personal invitation  
mass media
  posters  
  project/gallery web site
  friends
other (please specify)
   

I agree to allow my personal data contained in the application form for registration purposes for the Conference Bielsko-BiaWOW! - Influence of Culture on the City's image and Development (pursuant to the Act of. 29.08.1997 on the Protection of Personal Data, Journal of Laws No 133, item 883 with subsequent amendments).

The conference is organized under the project "Lokomotywa - cluster development strategy" co-financed by the Norwegian Financial Mechanism.

Norweskie FunduszeGaleria Bielska BWARegionalna Izba Handlu i PrzemysłuOslo Teknopol