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Personal application form

Please fill out the application form for each delegate separately.

Information marked with * is compulsory to finish the application process.

Registration

Name: *

Surname: *

Job title:

Company:

Address: *

City: *

ZIP code: *

State: *

Phone:

Fax:

E-mail: *

SMS notifications

Be up to date during SEMPL festival! Catch the trends via text messages that keep you posted about the main events at SEMPL.

I agree to a subscription of FREE SMS alerts during the SEMPL media trends seminar and will receive maximum 3 FREE SMS alerts per day and one FREE SMS event reminder for the 2009 seminar.

Mobile phone number:

Holders of non-Slovenian mobile numbers must sign up with their international country code prefix.

Other detail

I will pay the delegate fee: * until November 9, 2008 - 425 € + 20% VAT; total payment 510 € until November 9, 2008 (without lunch) - 375 € + 20% VAT; total payment 450 € after November 10, 2008 - 475 € + 20% VAT; total payment 570 € after November 10, 2008 (without lunch) - 425 € + 20% VAT; total payment 510 € as a student, until November 9, 2008 - 85 € + 20% VAT; total payment 102 € as a student, after November 10, 2008 - 100 € + 20% VAT; total payment 120 €

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