Polagra FOOD / Gastro Trendy VIP Buyer registration form
13 - 16.09.2010
The registration will be available to 13.09.2010 10:00
Each person should fill in separate form.
Participant data
*
First name
*
Last name
Tel. no
WWW
*
E-mail
*
Position
Company data
*
Name*
*
Address
*
Zip
*
City
NIP
Country
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BANGLADESH
BELARUS
BELGIUM
BOLIVIA
BOSNIA AND HERZEGOVINA
BRAZIL
BRUNEI
BULGARIA
CAMBODIA
CAMEROON
CANADA
CHILE
CHINA
COLUMBIA
CONGO
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DOMINICAN REPUBLIC
ECUADOR
EGYPT
ESTONIA
FINLAND
FRANCE
FRENCH GUYANA
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREAT BRITAIN
GREECE
GUADELUPE
GUATEMALA
HAITI
HOLLAND
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KENYA
KOREAN PEOPLE`S DEMOCRATIC REPUBLIC
KUWAIT
LAOS
LATVIA
LEBANON
LESOTHO
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBURG
MACEDONIA
MALAWI
MALAYSIA
MALI
MALTA
MAROCCO
MAURITANIA
MEXICO
MOLDOVA
MONACO
MONGOLIA
MOZAMBIQUE
NAMIBIA
NEPAL
NEW ZEALAND
NIGERIA
NORWAY
PAKISTAN
PALESTINE
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
REPUBLIC OF KAZAKHSTAN
REPUBLIC OF SOUTH AFRICA
REPUBLIC OF UZBEKISTAN
ROMANIA
RUSSIA
SAN-MARINO
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SINGAPORE
SLOVAK REPUBLIC
SLOVENIA
SOUTH KOREA
SPAIN
SRI LANKA
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TANZANIA
THAILAND
TOGO
TUNISIA
TURKEY
TURKMENISTAN
UKRAINE
UNITED ARABIC EMIRATES
URUGUAY
USA
VENEZUELA
VIETNAM
YEMEN
ZIMBABWE
*
I agree to have the above information placed in the database held by PIF Ltd. in Poznan as well as have it further processed for statistical and marketing purposes. Respondents have the right to have access to their data and to amend them on conditions stipulated in the Personal Data Protection Act of 29th August 1997.
*
Following the Providing Services by Electronic Means Act of 18th July 2002 I agree to receive any business information sent by PIF Ltd. to my e-mail account mentioned above. Respondents have the right to resign from receiving this information at any time.
*
Field is Required