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1. ?????? ?????? (??????????? ????) ????????????.

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2. ?????????? ????????? ?????? ????? ? ??????? 240, - EUR ?? ????????. ?? 31.05.2016

??? O?????, ?????? ?? ????:

BIC (SWIFT) - EBOSPLPW245

IBAN - PL 04 1540 1245 2056 4809 2939 0001

Hotel Magellan, Bronislawow

97-320 Wolbrz

3. ???????? o????? 400,- ?? ???????? ?? ?????? ?????????? ???????? ?? ???????? (?????? ?????????).

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5. ???????? ????????, ??? ?????????? ?? ????????????.

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I hereby give consent for my personal data included in my application form to be processed for the purpose of the participation in the dance congress CANTINERO CAMP (in accordance with the personal data protection act dated 29th August 1997, Journal of Laws of the Republic of Poland 2002 No 101, item 926 with further amendments).