JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
An application for participation in the conference
YOU MUST WRITE YOUR E-MAIL IN THE NEXT LINE (this is a mandatory question)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
XII International Conference "OIL AND FAT INDUSTRY: TECHNOLOGIES AND MARKET" /May 14-15, 2019, Ukraine, Kiev/
Full name of the company
*
Your answer
Company Activities
*
Your answer
Address of the company
*
Your answer
Bank requisites of the company
*
Your answer
Сompany e-mail (general)
*
Your answer
Telephone of the receiving company
*
Your answer
Сompany website
*
Your answer
Name, surname and position in the company of participants
*
Your answer
Contact phone number and e-mail of the participant (s)
*
Your answer
Form of participation
*
advertiser (without participation in the conference)
participant-listener
participation with a presentation presentation
distance participation
The general sponsor
sponsor
Required
Advertising services:
*
The expo in the DEMO-zone
Advertising in the conference catalog
Placement of a banner in the hall
Distribution of materials on the information desk
Advertiser WITHOUT PARTICIPATION in the conference (specify the type of advertising below)
- advertising in the conference catalog
- Distribution of advertising materials at the front desk
- placing a banner in the hall
I DO NOT ORDER ADVERTISING SERVICES
Required
Participation in the DEMO-zone (on the scheme of the conference hall "Congress", select the place of interest and specify its number below)
Indicate the number of the exhibition for reservation
NOT PARTICIPATING IN DEMO-zone
3
4
7
8
11
12
13
14
15
Invoice in the payment currency:
*
EUR
USD
I guarantee payment to:
*
MM
/
DD
/
YYYY
To book a hotel
Yes (to apply for a booking please go to:
https://docs.google.com/forms/d/e/1FAIpQLSeMtfZXaxg-JUW9YyuR4KEIrqWUZkcIVtjAn7e5RDmIY-4Hpw/viewform
)
No (click below SEND - blue button at the bottom)
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report