Enter name of the object Applicant’s data Applicant’s e-mail address Applicant’s phone number Address of the application location Short technical description of the subject of the application I consent to receive commercial information by electronic means from “MOSTOSTAL SA”, in accordance with the Act dated 18 July 2002 on provision of electronic services (Journal of Laws dated 2002 No. 144, item 1204 as amended), and in order to execute the subject of this questionnaire.