Registration for the banquet

Complete the form to register for the banquet. The cost of participation is PLN 300 gross.

Please pay for your participation by bank transfer to mBank account 05 1140 2004 0000 3102 7811 5326, specifying your name and surname, and “Amputation Forum Banquet” in the payment reference. If you require an invoice, please send your company details to w.kobylt@znowuwbiegu.pl after paying.

    YOUR NAME

    YOUR EMAIL