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:

1 day 2 days 3 days

I am a student *

* 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.

POST IN THE COMPANY:

Owner, co-owner
Member of the top management
Manager
Specialist, technical expert
Employee
Sole trader
Student
Other

TYPE OF THE VISIT:

Business visit
Private visit

REASON OF THE VISIT:

Gather information
Obtain new business contacts
Strengthen business contacts
Order, buy
Offer own products and services
Accompanying programme
Other reasons

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?

I AGREE TO RECEIVE INFORMATION ON EXHIBITION

Verification code:

Please, state the result for verification: 13 + 6 =

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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More | Processing of personal data

Sdružení oboru vodovodů a kanalizací ČR, z.s.

Novotného lávka 200/5

110 00 Praha 1, Czech Republic

IČO: 60456116, DIČ: CZ60456116

Exponex, s.r.o.

Janouškova 2015/1a

613 00 Brno, Czech Republic

IČO: 29222338, DIČ: CZ29222338

Jana Vasilková

Tel.: +420 736 637 073

E-mail: jvasilkova@exponex.cz

E-mail: vodka@exponex.cz