romania upstream conference - Petroleumclub.ro
romania upstream conference - Petroleumclub.ro
romania upstream conference - Petroleumclub.ro
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nd<br />
2 Day<br />
Registration Form<br />
Name and First Name: ...........................................................................................................................................................................................................<br />
Job Title: .................................................................................................................................................................................................................................<br />
.<br />
Company Name: .....................................................................................................................................................................................................................<br />
Address (street, city, postal code, county):<br />
......................................................................................................................................................................<br />
....................................................................................................................................................................................................................................................<br />
Phone: ......................................................................................................................... Fax: ....................................................................................................<br />
Contact Person: ..................................................................................... E-mail: ...................................................................................................................<br />
All fields are compulsory.<br />
Participation at the FIRST EASTERN EUROPEAN HSE FORUM is free of charge for the first 100 persons registered.<br />
Date ..............................................................<br />
Signature and stamp ..................................................................<br />
Registration Form<br />
Please fill in the form and return it by email to:<br />
office@pet<strong>ro</strong>leumreview.<strong>ro</strong><br />
or by fax to +40 (0)344-140342<br />
no later than 12.03.2012<br />
CONTACT PERSONS:<br />
Lavinia Iancu – tel.: 0749 220.635;<br />
lavinia.iancu@pet<strong>ro</strong>leumreview.<strong>ro</strong><br />
Costin Neagu – tel.: 0723 624.468;<br />
costin.neagu@pet<strong>ro</strong>leumclub.<strong>ro</strong><br />
5
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