*

Surname:

*

Given Name:

*

Company Name:

*

Address:

*

City:

*

Country:

*

Postal Code:

*

Phone:

Fax:

Mobile:

*

E-mail:

Website:

*

Hotel reservation:

Reval Hotel Lietuva
Other
No

*

Date of arrival:

*

Departure date:

*

Business Category (please tick one only that best describes):

Retailer
Wholesaler/Distributor
Importer/Exporter
Manufacturer
Jewellery Designer
Jewellery Craftsman
Jewellery Related Bisiness
Jewellery School
Others

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Direct flyght (10 March) from Vilnius to Gdansk exhibition "Amberif" 11-15 March. Price 236 euro.:

Yes
No

*

Invitation letter (for getting visa):

Yes
No

*

Please inform your day and time when are you arriving:

Additional information: