APPLICATION FORM

* marked items must be completed

Title before name:
Name:
Surname:*

Item must be entered

Title behind name:
Company name:
Street:*

Item must be entered

Town/city:*

Item must be entered

Post code:*

Item must be entered

Country:*
E-mail:*

Item must be entered

Incorrectly entry

Company ID:
It is necessary to have individual confirmation for each entry to the Exhibition (it is marked by specific barcode). Please select how many times you wish to visit the Exhibition. You will receive number of confirmations equal to the number of days you select for your visit:
 

 
* Admission for students is free for the entire Exhibition under the condition they can submit the students’ certificate or valid ISIC card (up to age of 26) by the registration desk at the Exhibition entrance.

COMPANY TYPE:











POST IN THE COMPANY:









TYPE OF THE VISIT:



SCOPE OF ACTIVITY:













REASON OF THE VISIT:








FIELD OF INTEREST:




















Processing of personal data
The personal information above is for your registration at this exhibition. Those information will be stored at the organizer of the event. To get more information about the processing your personal data, please go to our website www.exponex.cz.
We would like to keep you informed about news from this exhibition and also about other events that we organize. Do you agree that for this reason we use the email address that you filled in your application?

Verification code:
Please, state the result for verification: 88 + 7 =  

Item must be entered

Incorrectly entry

Should you have any problems with registration, please, send your contact data
(name, surname, company name, street, city, post code, e-mail) to registrace@exponex.cz.
We will register you and send the registration confirmation to your e-mail address.

Thank you

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