GOLD MEDAL Competition entry form

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WORLD TRADE CENTER POZNAŃ sp. z o.o.
ul. Bukowska 12 , 60-810 Poznań
Person in charge: Jolanta Kanikowska
Tel. 61/869 22 06, 61/866 59 36, fax: 61 866 61 34
e-mail: j.kanikowska@binte.pl ,
jolanta.kanikowska@wtcpoznan.pl
Bank account: PEKAO S.A.
IBAN PL 78 1240 6612 1111 0010 3433 8273
SWIFT: PKO PP LPW
PIF GOLD MEDAL COMPETITION APPLICATION
Tourist Product
Applications’ deadline:
05.10. 2015
Exhibiting of a submitted device at the fair is the condition of the competition’s participation . Please, attach to your application materials facilitating
product’s estimation. If exhibitor is not manufacturer of device submitted to the competition, it should attach relevant declaration or authorization of
manufacturer. Transfer of the competition’s fee and enclosing the copy of the payment’s proof is the condition of participation.
Company submitting product:
Street:
Telephone:
Mailing code:
Fax:
Town/City:
E-mail:
Region:
Internet:
Exhibitor (full name):
Pavilion, stand:
Street:
Telephone:
Mailing code:
Fax:
Town/City:
E-mail:
Region:
Internet:
Entitled person in charge (first name, family name, post, telephone, fax):
WE SUBMIT OUR PRODUCT TO THE COMPETITION
(to be filled in separately for each submitted product)
Fee for each submitted product
1900 PLN
Tourist product’s name ( please, write full trade name ):
- in Polish:
...................................................................................................................................................................................
- in English:
..............................................................................................................................................................................
Information about submitting company ( e.g. traditions, experience or others )
Description of the tourist product – according to the § 3, point 2 of the Competition’s regulations ( product’s core, real product,
widened product )
Compact marketing information on a submitted product - max 500 signs with spaces:
Also electronic version of this description ( e-mail or CD ).
Owned attestations/ certificates/ testimonies/ results of research
Received prizes or awards
List of attachments ( CD presentation, product’s description, characteristic, photos, leaflets, catalogues, samples, drawings ,
product itself etc.):
1.
.........................................................................................................................................................................................................
2.
.........................................................................................................................................................................................................
3.
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4.
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5.
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I declare that I know and approve competition’s Regulations. I confirm verity of information given on this form, I am also aware that submitting of
any false information excludes participation at competition.
I agree for using a photo of submitted product as well as a logo of ……………………………………...(please, write the name of a company ) for
promotional aims of the Gold Medal Competition.
Payer: full company’s name ( for invoicing )
_
_______________________________
Place and date
......................................................................................
..
....................................................................................
VAT No.:
.............................................................................
_______________________________________
Company’s seal
_________________________________
Legalny binding signature
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