Declaration of interest

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Name of entity:*

Required field:

Address (street):*

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Location:*

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Post code:*

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Malformed post code (required xx-xxx):

Website:

Contact person (name and surname):*

Required field:

Phone:*

Niepoprawny format telefonu (wymagany xx-xxx-xx-xx lub xxx-xxx-xxx)

Required field

Fax::

Niepoprawny format telefonu (wymagany xx-xxx-xx-xx)

Required field

Phone 2:

Niepoprawny format telefonu (wymagany xx-xxx-xx-xx lub xxx-xxx-xxx)

Required field

E-mail:*

Required field

Nieprawidłowy format adresu mailowego

Temporary Activity:

Industry:*

Required field

Started in*

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Required number format

Number of Employees:*

Required field

Required number format

Planned type of innovative activity in SPNT:

Industry:*

Required field

Short description:*

Pole wymagane

Forecast demand for facilities, equipment, specialist services:

Public (please specify area, type of surface, such as office, manufacturing and other relevant information):

Parking:

Team meeting conference and training:

Internet network (please specify speed):

Consulting services (please specify):

Training services (please specify):

I agree to use the information for the purposes of cooperation with SPNT*

Pole wymagane

* Obowiązkowe pole do wypełnienia.

** DEKLARACJA ZAINTERESOWANIA nie jest jednoznaczna z przystąpieniem do SPNT.

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Declaration of interest

Temporary Activity:

Planned type of innovative activity in SPNT:

Forecast demand for facilities, equipment, specialist services:

Partners: