AFCEA TechNet Europe 2013

Hilton Warsaw Hotel, Poland
28-29 May 2013

Pre-registration with full payment is required prior to 14 May 2013. After this date we can no longer guarantee your registration.

If you are a speaker, a guest or a sponsor, please contact AFCEA at

If you would like to get in touch with the AFCEA Registration Staff, please call + 32-2-705 2731 or email:

If you would like to join AFCEA to benefit from the member rate at this event, please contact AFCEA International before completing your registration form or join on line at

If you would like to get in touch with the AFCEA Registration Staff, please call + 32-2-705 2731 or email:

Complete this form for each attendee.

Required fields indicated by *

Mr./Mrs./Ms. or Military Rank *

First Name *

Last Name *

University/Company or Government Org Name *

Note: the four fields above will be used to produce your badge
but may be edited so as to fit on 3 lines of text.

Job Title *

Address *

Postal Code/City/State or Province *

Country *

E-mail *

Additional E-mail

Mobile Phone or Tel *

Check here if billing address is the same as the attendee address

Billing Contact Name *

Billing Email *

Billing Company/Organization *

Billing Address *

Billing Postal Code/City/State or Province *

Billing Country *

How did you learn about this event?

Check here if you are a member of industry.
My company would like to sponsor the event; send me sponsorship information.

  • All fees are in Polish Zlotych (PLN) and subject to VAT (Value Added Tax) at 23%
  • NATO personnel and some Diplomatic Missions may be exempt from VAT charges but must provide a VAT Exemption Certificate otherwise VAT will be charged. The Certificate must be provided as soon as possible. Please let AFCEA Europe know if you intend to provide one.
        My company has a (European) Value Added Tax (VAT) number
        No Yes
        (Country of VAT registration and of billing address must be the same.)
        VAT Number:

Select Item(s) *

Symposium Fees include Sessions, Networking lunches, refreshments during the coffee breaks and a dinner on 28 May at the Belvedere restaurant in the Royal Lazienki Park.

If your "billing country" belongs to the AFCEA Central Europe & Baltic Regions (Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania and Slovak Republic) choose the special rate option below.


Symposium 28-29 May, Industry (PLN 2490 / 3062.70 Incl VAT)
Symposium 28-29 May, active Military/Government (PLN 830 / 1020.90 Incl VAT)
Symposium 28-29 May, Industry Special Central Europe and Baltic Rate (PLN 1660 / 2041.80 Incl VAT)
Symposium 28-29 May, active Mil/Gov't. Special Central Europe and Baltic Rate (PLN 520 / 639.60 Incl VAT)

Comments/Special Needs:

Information such as special dietary restrictions or physical access needs.

Credit Card Payment *

Card Type

Cardholder Name

Card Number

Expiration Date

AFCEA Europe will email a Registration Confirmation as soon as your credit card payment is accepted. A "Paid" invoice will also be emailed for accounting (tax) purposes to you or to the billing contact named on your registration.
Cancellation Policy: No refund after 26 April 2013. Name substitution: at any time.
Data Protection
The data on this form will be held in a database and used for AFCEA internal purposes only.