Application Form For participation in the XXXVII Conference of the Association of Employers of Emergency Medical Services andEuropean Forum For Emergency Medical Services fromthe 18th to the 20th May 2022. Fields marked with an asterisk* are mandatory Details of the employer Name of employer* Address of employer* NIP* Phone number* E-mail address* Details of the participant: First name of the participant* Surname of the participant* Position* E-mail address* Phone number* Date: Place: Given my participation in the XXXVII Conference of the Association of Employers of Emergency Medical Services and European Forum For Emergency Medical Services, hereinafter referred to as “the Event”, I agree to the processing of my personal data provided in the application form to the extent necessary for the organisation of the Event. Find out more about the processing of your personal data and your rights in the Privacy Policy * Payment details Bank Millennium S.A.Bank transfer to the account no. 97 1160 2202 0000 0000 4260 9024The transfer title should be the following: I Europejskie Forum Ratownictwa MedycznegoThe deadline for submitting applications and payment is the 5th of May 2022.The participation fee is 1950 PLN net per person. Hosted by Emergency Medical Services in Jelenia GóraAddressul. Cieplicka 126A58-570 Jelenia Góra Info Privacy Policy Schedule Terms & Conditions Contact Details pogotowiejg@999.jgora.pl 75 752 64 62 Postal address ul. Ogińskiego 6, 58-506 Jelenia Góra Copyright © 2022 by Emergency Medical Services in Jelenia Góra. All rights reserved. Created by TwojaReklama