romania upstream conference - Petroleumclub.ro

st
1 Day
Registration Form
Name and First Name: ...........................................................................................................................................................................................................
Job Title: .................................................................................................................................................................................................................................
.
Company Name: .....................................................................................................................................................................................................................
Registration Number – Commerce Registry : ....................................................................................................................................................................
Fiscal Code : .............................................................................................................................................................................................................................
IBAN: ......................................................................................................................................... BANK...................................................................................
Address (street, city, postal code, county): ......................................................................................................................................................................
....................................................................................................................................................................................................................................................
Phone: ......................................................................................................................... Fax: ....................................................................................................
Contact Person: ..................................................................................... E-mail: ...................................................................................................................
All fields are compulsory.
Participation Fee:
PARTICIPATION FEE: 750 RON/PERSON + VAT
PETROLEUM CLUB OF ROMANIA MEMBER: 500 RON/PERSON + VAT
PETROLEUM INDUSTRY REVIEW SUBSCRIBER: 500 RON/PERSON + VAT
The registration fee covers attendance to all sessions, event informative documents, coffee breaks, business lunch and dinner.
Options:
Roll-up Banner: 350 EUR + VAT
Promotional Materials: 350 EUR + VAT
PAYMENT DETAILS:
Payment should be made for: S.C. Industry Media Vector S.R.L., C.U.I RO24187063, IBAN RO38INGB0000999901051513, ING BANK Ploiesti
Branch.
All cancellations made after sending the registration form and the invoice issue will receive no refund.
If a company representative that previously registered fails to attend the seminar
the company receives no refund. Substitutes are acceptable at any time.
Date ..............................................................
Signature and stamp ..................................................................
Registration Form
Please fill in the form and return it by email to:
office@petroleumreview.ro
or by fax to +40 (0)344-140342
no later than 12.03.2012
This Registration Form works as a commercial contract between the two
companies.
CONTACT PERSONS:
Lavinia Iancu – tel.: 0749 220.635;
lavinia.iancu@petroleumreview.ro
Costin Neagu – tel.: 0723 624.468;
costin.neagu@petroleumclub.ro
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