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APPLICATION FORM FOR THE SOCIETY OF FRIENDS OF "MAZOWSZE"


The Tadeusz Sygietyński STATE  FOLK SONG AND DANCE  ENSEMBLE “MAZOWSZE”
Świerkowa 2 Street, 05-805 Otrębusy,

Brwinów Community, Mazowsze Viovodeship, Poland

Name / Company name:


Correspondence address:       

e-mail   

phone

Please fill in all the spaces. In the absence of an email account please write “none”.

I consent to the processing of my personal data by The T. Sygietyński PZLPiT T “Mazowsze" ( Świerkowa Street 2, 05-805 Otrebusy), using for the purpose of  activities of the Friends of “Mazowsze” Club. Acknowledges that personal information will be processed and transmitted in accordance with the Act on Personal Data Protection dated 29.08.1997  (Acts U No. 101 of 2002, item. 926, as amended. D.). I certify that I have been informed about the powers available to me under the Act on the Protection of Personal Data of 29.08.1997 (Official Journal from 1997, No. 133 with later. Amended), in particular the right of access to data personal, correct, request temporary or permanent suspension of the processing and completely remove them from the set.

I confirm that I give my personal data and consent to the processing is voluntary.

 

(date and signature)

I certify that I have read the rules of the Friends, of “Mazowsze” Club
 



The Tadeusz Sygietyński STATE  FOLK SONG AND DANCE  ENSEMBLE “MAZOWSZE”
Świerkowa 2 Street, 05-805 Otrębusy, Brwinów Community, Masovia Viovodeship, Poland
 

tel. +48 22208 88 88
fax. +48 22 208 88 00
sekretariat@mazowsze.waw.pl
www.mazowsze.waw.pl
NIP: 534-000-30-46
REGON 000275458
 


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The Tadeusz Sygietyński

STATE FOLK SONG AND DANCE

ENSEMBLE “MAZOWSZE”

Świerkowa 2 Street,

05-805 Otrębusy, Brwinów Community,

Masovia Viovodeship, Poland 

tel. +48 22208 88 88

fax. +48 22 208 88 00  

 

Zespół finansowany jest ze środków Samorządu Województwa Mazowieckiego