To register for the conference, please send signed and completed form by E-mail ([email protected]) or fax (03-9247783) Schedule and tracks are subject to change. Should, for any reason, the event be rescheduled or cancelled, the extent of our liability is limited to the return of fees paid to us. Price for the congress day- only 620 NIS + VAT Pay by: □ Check □ Transfer □ Credit Card Attendees will be entered in a raffle for a valuable prize. Registration Form Name: Title: שם בעברית: Company: Reg.# ( ח. פ) : Address: City: Zip: Cellular: Email: Telephone: Fax: Name of signatory: Telephone of signatory: For Credit Card payment, please fill in: Check one: □ Visa □MasterCard □American Express □Other, specify: _________________________ Card holder name: _____________________ Card holder address: ______________________________ Card holder phone: _____________________ Card Number: ___________________________________ Expiration date: ___________ (mm/yy) Holder’s ID card number: ______________________________ Terms of Registration: Due Payment: has to be done before the event. Terms of canceling participation: up to 7 days before the congress: no charge. Up to 3 days before the congress: 30% of the price will be charged. Two days before the congress: a full price will be charged. This Registration constitutes your agreement to accept technology-related mails from Logtel. □ Please check the box if you disagree. To register and send payments please write, call or fax to Itay Arie: [email protected] Tel: 972-3-924 7780 # 109 - Fax: 03-924 7783 - 32 Shacham St., Petah Tikva, 49170, Israel Company Stamp Signature Gold Sponsor: Sponsors:

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To register for the conference, please send signed and completed form by E-mail ([email protected]) or fax (03-9247783)

Schedule and tracks are subject to change. Should, for any reason, the event be rescheduled or cancelled, the extent of our liability is limited to the return of fees paid to us.

Price for the congress day- only 620 NIS + VAT

Pay by: □ Check □ Transfer □ Credit Card Attendees will be entered in a raffle for a valuable prize.

Registration Form

Name: Title:

:שם בעברית

Company: Reg.# : (פ.ח)

Address: City: Zip:

Cellular: Email:

Telephone: Fax:

Name of signatory: Telephone of signatory:

For Credit Card payment, please fill in: Check one: □ Visa □MasterCard □American Express □Other, specify: _________________________ Card holder name: _____________________ Card holder address: ______________________________ Card holder phone: _____________________ Card Number: ___________________________________ Expiration date: ___________ (mm/yy) Holder’s ID card number: ______________________________

Terms of Registration: Due Payment: has to be done before the event. Terms of canceling participation: up to 7 days before the congress: no charge. Up to 3 days before the congress: 30% of the price will be charged. Two days before the congress: a full price will be charged. This Registration constitutes your agreement to accept technology-related mails from Logtel. □ Please check the box if you disagree.

To register and send payments please write, call or fax to Itay Arie: [email protected] Tel: 972-3-924 7780 # 109 - Fax: 03-924 7783 - 32 Shacham St., Petah Tikva, 49170, Israel

Company Stamp Signature

Gold Sponsor: Sponsors:

mailto:[email protected]