Strona forum - Registration

First name *

Last name *

Affiliation *

Academic title *

E-mail address *

Phone number *

City *

Country *

Title of the paper *

Abstract (200-300 words including bibliography) *

Brief biographical note *

Other comments

I wish to receive an invoice (Yes/No) *

Details for invoice:

Name and address details for invoice (if the university/institution you are affiliated to is paying for your participation in the conference, please provide its name, address and Taxpayer Identification Number (NIP or its equivalent). If not, provide your details.)

University/Institution or first and last name**:

Address with Post Code**:

Taxpayer Identification Number (NIP):

Amount due of PLN 230 (or EUR 50 for participants from abroad) to be transferred to the account number:

Recipient’s name: Uniwersytet w Siedlcach
Recipient’s address: ul. Konarskiego 2, 08-110 Siedlce
Bank name: Bank Pekao S.A. O/ Siedlce
Title of payment: Participant’s Name and Surname 7th Annual Siedlce Forum

Bank account for payments in EUR:
PL 84124026851978001014643201
SWIFT BIC: PKOPPLPW
Bank Pekao S.A. O/ Siedlce
Wojskowa 24, 08-110 Siedlce, Poland

Bank account for payments in PLN:
19124026851111000036563195
Bank Pekao S.A. O/ Siedlce
Wojskowa 24, 08-110 Siedlce

Please note that there will be no refunds for absence or cancellations.

By submitting this registration form I hereby authorise the Univeristy of Siedlce to issue the invoice without my signature.

Please, send the invoice to the following address:

By submitting this registration form I hereby give consent for my personal data I voluntarily provided in this abstract form to be gathered, processed and stored for the purpose of organising 9th Siedlce Forum conference, publishing related articles and promotional materials as well as for the purpose of informing of further events organised by the Institute of Linguistics and Literary Studies of University of Siedlce, in accordance with the Personal Data Protection Act dated 29.08.1997 (uniform text: Journal of Laws of the Republic of Poland 2016, item 922 with further amendments).

** obligatory to receive the invoice

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