11th International Scientific Conference onGLOBAL PROBLEMS OF AGRICULTURE,

FORESTRY AND FOOD ECONOMYWarsaw–Rogów, Poland, June 26-27, 2014

REGISTRATION FORM

First and last name ..............................................................................

Degree and academic title .....................................................................

Position ............................................................................................

Institution ...........................................................................................

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NIP (taxpayer identification number) of the institution ..............................

Address of the institution......................................................................

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Mailing address ...............................................................................

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Telephone number ............................................................................

E-mail ...............................................................................................

I submit my paper entitled:

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Option 1 – Full participant of the conference, price – 240 €

Option 2 – Publication of the article without the participation in the

conference – price 170 €.

I, hereby, authorize the organizers to issue a VAT invoice without my signature

................................. ............................. Date Signature