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Please note that your name and company will be written on your badge precisely the way you spell it in your registration.

Gender:*

First name:*

Surname:*

Company:*

We are:*

Position:*

Street:*

Postcode:*

City:*

Country:

Email:*

Email repeat:*

Telephone:*

Do you have a ticket code?

How did you find us?

Miscellaneous:

Datenschutz:

I would like to receive information about future events of WA Media GmbH by e-mail.

I agree to receive general information and newsletters from WA Media GmbH by e-mail.

I agree to be contacted by phone for events or products of WA Media GmbH.

We collect this data as a mandatory field, since we have to check whether you are entitled to visit the HAPTICA® live in your capacity as a trade visitor from the sectors marketing/sales/promotional products procurement, etc. Furthermore, the stated data is necessary for the visitor pass used at the event.