Registration | Wireless Russia Forum 2018

Delegates’ registration:

The registration fee per person is 22 000 RUB

Registration form 08-2017

Status *

Status (other) *

Company name *

Surname *

First name *

Job title *

Phone number (direct-dial) *

Mob. phone

Corporate E-mail *

Invoice details

Payment method *

Bank payment on account

With bank card (Attention! Banks can charge a commission of 3% to 22% when using payment systems)

Full name of payer company *

Legal address *

Physical address *

TIN (Taxpayer registration number) *

RRC (Registration reason code) *

Current account *

Bank name *

RCBIC (Russian Central Bank Identification Code) *

Correspondent Account *

Agreement signee (full name) *

Job title *

Acting by virtue of *

Contact person *

Contact person job title *

Contact person phone number (direct-dial) *

Contact person E-mail *

Contact person mobile phone

Fax number

Card holder surname and first name *

* - required fields