Registration | Digital & Connected TV Russia 2017

Delegates’ registration:

The registration fee per person is 10 000 RUR

Delegates fees are calculated in US dollars or Euro at the Central Bank of the Russian Federation exchange rate on the date of Invoice issue.

Conference registration form

Company *

Contact person *

Job title *

Postcode *

Address *

E-mail *

Direct telephone *

Fax

Delegate

Family Name (Mr / Mrs / Ms) *

First name *

Job title *

Payment details

Payment method *

By Bank Transfer

By Credit Card (Please note you will be charged from 3% to 22% fee for the transaction while using payment system)

Company Name

Registered office (Full address details)

Post addresses (Full address details)

Contract will be signed by (name, title) and acting on the grounds

Bank

BIC (SWIFT code)

Account number

Comments

Fields marked with * are required

What code is in the image? *

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