Conditions of participation

Personal data

Name and surname*

Duty position

Company

Phone number*

Email address*

Participation options

I want to take part in the EBHC Symposium as a representative of:

private company / private personpublic institution, NGO, student / doctoral student

Scope of participation in the Symposium:

personal participation (2 days)personal participation (2 days) + gala dinner

VAT invoice details

Please issue a VAT invoice using the following details and I authorize the CEESTAHC Association to issue a VAT invoice without the recipient's signature.
If you need to issue a VAT invoice, please complete the declaration of being a VAT payer below.

Full company name

Address

Zip code

Town

Tax Identification Number

Nr zamówienia (jeżeli wymagany na fakturze)

Agreements

*I declare that I have read the Terms and Conditions of participation in the Symposium and I undertake to pay the entire amount resulting from the placed order.

*I declare that I have read the information clause on the processing of personal data.

I consent to the processing of the e-mail address provided above for the purpose of sending commercial information (including information about organized training and events) electronically, on the terms set out in the Regulations and Privacy Policy, by the Central and Eastern European Society of Technology Assessment in Health Care (CEESTAHC) based in Krakow. I know that I can withdraw my consent at any time. (optional)

Δ