|
|
|
I hereby transfer the amount of EUR 100.- to Wydawnictwo Jacek Romanowski, Czackiego 3/5, 00-043 Warszawa, Poland,
VAT No: PL 5251049621
BANK Ochrony Srodowiska III O/Warszawa, Swift Code (BIC):
EBOSPLW 287, Account No: 06 1540 1287 2001 6875 7454 0001
I agree that Wydawnictwo Jacek Romanowski can store and use the above data for promotion purposes. I have the right to see the data and update them any time.
Date and Signature
After the Form is carefully filled please send it by e-mail to info@reporterchemiczny.com or send by post to Wydawnictwo Jacek Romanowski, Czackiego 3/5, 00-043 Warszawa, Poland.
|
|