Registration | Smart Cars & Roads 2017

Delegates’ registration:

The registration fee per person is 22 500 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.

Registration form 08-2017

Status *

Status (other) *

Company name *

Surname *

First name *

Job title *

Phone number (direct-dial) *

Mob. phone

Corporate E-mail *

Invoice details

Payment method *

Bank payment on account

With bank card (Attention! Banks can charge a commission of 3% to 22% when using payment systems)

Full name of payer company *

Legal address *

Physical address *

TIN (Taxpayer registration number) *

RRC (Registration reason code) *

Current account *

Bank name *

RCBIC (Russian Central Bank Identification Code) *

Correspondent Account *

Agreement signee (full name) *

Job title *

Acting by virtue of *

Contact person *

Contact person job title *

Contact person phone number (direct-dial) *

Contact person E-mail *

Contact person mobile phone

Fax number

Card holder surname and first name *

* - required fields

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