Application for Golden Chariot Russian Evening in Berlin 19 SEP 2012

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Application for Golden Chariot Russian Evening in Berlin 19 SEP 2012 Powered By Docstoc
					                              To the Organizing Committee             14-1 Nov.Basmannaya str., Moscow,
                                  Of the Golden Chariot               107078, Russia
                                                                      Tel.: +7(495) 925-81-63, 925-81-64
                             International Transport Award            tel./fax: +7(499) 267-93-27
                                                                      http://www.premiya.ru
                                                                      E-mail: premiya@premiya.ru


      Application form for participation in Russian Evening in Berlin and VIII
                    Awarding Ceremony of the Golden Chariot
        19 September 2012, Berlin, Russian House for Science and Technics
 Company:

 Post address:
 Phone, fax:                                                          /
 E-mail, web-site:                                                    /




                       We hereby are requesting to subbmit ivitaitons:

 For 1 person, 500 Euro           For 2 persons, 1000 Euro            For 3 persons 1100 Euro
               [ ]                                [ ]                              [ ]


Invitations for the nominees (free) for [ ] persons.
(submitted to the companies applied for the awarding and chosen as winners of the Golden Chariot
Award in 2012)

Sponsor packages:
[ ] «Platinum Sponsor», 40 000 Euro
[ ] «Gold Sponsor», 20 000 Euro
[ ] «Silver Sponsor», 10 000 Euro
(list of sponsor options is mailed by request: premiya@premiya.ru).

SUM: [            ] Euro

Russian VAT 18% is included.
Pls send the form to fax +7(499) 267-9327 or to the e-mail premiya@premiya.ru .

                                                Mr. Mrs.
Contact person:
Name and the position of the person in chief:
Signature:                                                            Locus siguli

«______» ______________________ 2012

				
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