Registration form

Registration

19th Polish – American Conference on Science and Technology
16-17 April 2019

The Registration Form is intended for one person only. In order to participate in the Conference, please submit your completed the Registration Form by e-mail to: pac[at]ilot.edu.pl or by regular post to the correspondence address provided.

Name*

Surname*

Degree

Position

Name of Institution*

Email address*

Contact Telephone No.*

Postal address:

Polish-American Conference Bureau
Instytut Lotnictwa
al. Krakowska 110/114
02-256 Warszawa

* - the field is required

I hereby authorize you to process my personal data included in registration form for the needs of the conference registration process in accordance with the Personal Data Protection Act dated 29.08.1997 (uniform text: Journal of Laws of the Republic of Poland 2002 No 101, item 926 with further amendments)