APPLICATION FOR SUPPORT

Application date*: Automatic application date

Applicant name*:

Facility address*:

Website address / social media profiles:

Type of support (multiple choice possible)*:
discount on entry tickets to Energylandia Amusement Park
Energylandia Amusement Park gadgets
entry tickets to Energylandia Amusement Park

Description and request details*:

Implementation date*:

Attachment:

Contact person

Full name*:

Phone number*:

E-mail*:

INFORMATION:
Requests are processed within 30 days of receipt. All fields must be completed for the request to be considered.

I declare that all information provided in this application is true. *

I have read and accept the provisions of the Privacy Policy. *

I consent to the processing of my personal data included in the above form by ENERGYLANDIA GOCZAŁ FAMILY SP. K. for the purpose of correspondence.*

APPLICATION FOR SUPPORT

Contact person

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