Register for the conferenceShaping Tomorrow: AI, Digital Healthcare & Next Century Hospitals, 26-28.06.2025 Krakow A person registering Your name and surname*Position*Email address*Telephone number*Participation status*Please selectPSDSz member - free of chargeDirector of a hospital or healthcare facility - free of chargeEmployee of a healthcare facility - PLN 200Business participant 1000 PLN Studenci AGH - bezpłatnieParticipation in the gala dinner*Please selectI am signing up for the dinner and will pay an additional 300 PLNI am not registering for the dinnerInvoice detailsCompany nameAddressNIPAdditional informationConference registration conditions1. Submitting the completed form is a commitment to pay for participation in the conference. Transfer details: Bank Polska Kasa Opieki Spółka Akcyjna Transfer title: Payment for conference 2025 Account number: 25 1240 4722 1111 0000 4850 2526 Recipient: Polish Association of Hospital DirectorsCheck the box*I declare that I have read the condition in point 1 and accept it.Consent to the processing of personal data*I consent to the processing of my personal data provided in the above form for the purpose of participating in the conference by the Polish Association of Hospital Directors and by third parties. The person providing their data has the right to view them and the possibility of correcting them.WyślijTo pole powinno zostać puste
