Page 1 E7 18th International Wroclaw Symposium and Exhibition on

18th International Wroclaw Symposium and Exhibition
on Electromagnetic Compatibility
June 28 – 30, 2006
VIDEO CASSETTEE / DVD DEMONSTRATION ORDER
Please complete and return before May 5, 2006 to:
EMC SYMPOSIUM
Wybrzeze Wyspianskiego 27
50-370 Wroclaw, POLAND
fax: +48 71 3204261, phone: +48 71 3202038, e-mail: [email protected]
We would like to demonstrate through your closed TV circuit:
VHS video cassette
- PAL
- NTSC
CD-ROM
- DVD
Time of demonstration:_______________________________________min.
Title:
_______________________________________
The cassette or DVD/CD should be sent not later than June 2, 2006 to the address:
EMC SYMPOSIUM
Wybrzeze Wyspianskiego 27
50-370 Wroclaw, POLAND
fax: +48 71 3204261, phone: +48 71 3202038, e-mail: [email protected]
The sum of EURO 300 should be remitted, not later than 7 days, by bank transfer to the account of:
Foundation for Development of the Wroclaw University of Technology,
Wybrzeze Wyspianskiego 27, 50-370 Wroclaw, POLAND
Acc. No PL-71 1500 1067 1210 6007 7963 0000, SWIFT-BIC: KRDBPLPW
Copy of the Bank Transfer should be sent to: .
EMC SYMPOSIUM
Institute of Telecommunication, Teleinformatisc and Acoustics (EMC Lab.)
Wybrzeze Wyspianskiego 27, 50-370 Wroclaw, POLAND, fax: +48 71 3204261
Responsible person:
_______________________________________
Address:
_______________________________________
_______________________________________
phone:
_________________
e-mail:
_________________
fax:
_________________
Date:
_________________
_____________________
Firm's stamp
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Signature