Organiser of packaged business meeting days - Suppliers registration form INNOV'TECH Connection

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Suppliers registration form INNOV'TECH Connection

The European B2B about technological innovation

25^th & 26^th June2014

World Trade Center - Grenoble

FRANCE

In partnership with :

REGISTRATION FORM :

Please choose your registration formula, and associated options.

« STANDARD» FORMULE (3 sqm)

2 600 €

The STANDARD Formula includes:

• The organization of your agenda of meetings for 2 days for 1 person.
• Your stand (1 table, 4 chairs) for your meetings.
• Free access to the conferences organized in parallel of the meetings.
• The presentation of your company in the catalogue.
• The catalogue including all the presentations and contact details of the participants.
• Lunches of the 2 days and access to the coffee break area during the 2 days.
• The participation to the dining cocktail on 25 June.

« INTERMEDIARY» FORMULA (6 sqm)

3 100 €

This formula includes all the services of the STANDARD formula plus :

• A 6sqm stand instead of a 3sqm stand.
• Free access for a second participant (attention it does not mean that there will be a second agenda).

« SPONSORING » FORMULA (9 sqm)

3 600 €

This formula includes all the services of the STANDARD formula plus :

• A 9sqm stand instead of a 3sqm stand.
• Free access for a second participant (attention it does not mean that there will be a second agenda).
• The presentation of your company in the partner section of the catalogue.
• Animation of a 30 minutes conference to present an innovative technology.
• Your logo on all the communication tools as a partner (website, e-mailings and newsletters).

« UNIVERSITY» FORMULA

1 000 €

SPECIAL OFFER only fir universities. this formula includes the same services as the "STANDARD" Formula.

COMPLEMENTARY OPTION(S) :

Number of additional participant(s)		250 € / person
Animation of a conference (30 minutes)		350 €

Individual presentation of an innovative telogy or know-how developed by the company.

Animation of a " Speed Innov Workshop " (10 minutes)

200 €

Quick presentation of an innovative technology and potential applications.
A 30 minutes session = 3 presentations of company.

COMPANY (or organization) :

* Mandatory fields

* Company:
* Address :
*ZIP Code :	* City:
* Country:
* Tel. :	* Fax. :
* Email : Website :
Membership in a group :
Turnover :	Nb of employees :

Invoicing details (if different from above) :

Company:
Address:
Zip Code :	City:
Country:
Tel. :	Fax. :

Person in charge of the registration / Name of participants :

Person in charge of the registration :

Surname:
First Name:
Job Title:
Email :
Direct Line :

The participants :
Ms Miss Mr

1/ * Surname:
* First Name:
* Job Title :
* Email :
Direct Line :	Fax. :
Mobile:	(only for the organization committee)

Ms Miss Mr

2/ Surname:
First name:
Job Title:
E-mail :
Direct Line :	Fax. :
Mobile:	(only for the organization committee)

Technical presentation of our activity :

Our main activity :

*Mandatory field

Our profil :

SME
Very Small Company
Science Park
Large group
Public Research Organization
University or School

Financing organization
Competitiveness cluster
Consulting company
Local authorities
Others:

Our skills in relation to innovation :

Biotechnology Composites Electronics Renewable energy Testing and diagnostics Sofware Materials (except composites) Mechanics Mechatronics	Plastic processing Prototyping/ Additive manufacturing Microtechnique ans precision techniques Nanotechnology R&D, studies, engineering Embedded systems Information Technology Technical textiles Surface treatments Metal working
* Important : For each section checked, please precise the skills : (example : for Metal working: machining, undercutting, foundry..., - for Plastic Processing : injection, transformation, molds...) :
Other fields :

Our Application Fields :

Aerospace
Automotive
Armament
Food Industry
Building

Electrics / Electronics
Domotics
Environment
Industrial equipment
Railway

Medical
Naval
Pharmaceutics
Petrochemical industry
Telecommunications

Other fields :

Description of our offer :

Innovation or innovative process developed (or in progress) :

Certifications and agreements:

Animation of a conference of 30 minutes (option)*

Title:

Description (5 lines maximum) :

Animation of a "Speed Innov Workshop" of 10 minutes (option)*

Title:

Description (5 lines maximum) :

* Reminder: your intervention MUST present an innovative product or know how, and has to be validated by the technical organization committee.

I approve and accept the rules of the terms and conditions of INNOV'TECH 2014. I include payment of the 60% of the total cost to secure attendance at this event and commit myself to pay the resting amount before 24 May 2014 at the latest.

The Validation of inscription* document has to be sent :

• By mail: FIRST CONNECTION - INNOV'TECH Connection 2014 - 8 rue la fontaine - 92120 Montrouge (France).
• By fax: + 33(0)1 49 12 48 74

* Without this document signed and sent, together with the payment of the registration fees, we will not be able to take your registration into account.

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