Blank Form (#3) engNOTICE: Submission of the completed registration form constitutes formal registration of the participant and hereby authorizes the Organizer to issue a VAT invoice for attendance at the Congress.** Required fieldsZgłaszam swój udział w 14. Kongresie PSI/ICOI 8-8.01.2027 I would like to register for the 14th PSI/ICOI Congress on January 8–9, 2027.Please check the appropriate box: PSI/ICOI member* – PLN 2,200 PTE/IMP/PTDNŻ participant – PLN 2,400 Regular price – PLN 2,500OR Participation on January 8 only – PLN 1,300 Participation on January 9 only – PLN 1,300PARTICIPANT DETAILS: Name**Last Name**Email**Professional Title**NPWZ**Phone number**INVOICE DETAILSCompany name**NIP**Street**Building / Apt. no.**City**ZIP / Postal code**Submit Form
