Mediace 2019

According to Act No. 101/2000 Sb. we ask for your consent with the use of personal data for participants' records. *

YES I agree
NO I disagree

Academic degree before the name:

Name *

Surname *

Academic degree after the name:

E-mail address *

Telephone.

Sending organization

Login to section *

Theory a research in mediation
Practice of mediation

Type of attendance at the conference *

With a paper
Without a paper

Title of the Paper *

Annotation of the Paper *

I will participate *

Both days
On Thursday
On Friday

The Social Evening on Thursday *

I will attend it
I will not attend it

Invoice *

I do not need an invoice issued, thank you.
Yes, I need an invoice issued, I will provide the invoice details below.

Name and address of the organization *

ID of the organization *

Tax Identification Number *

Postal address

Notes