1 DETAILS2 INFORMATION3 REGISTRATION Company name*Name* First Name Family Name Email* Position*Address* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*VAT Number* Organisation profile*Pharma – Diagnostic companiesBiotech companiesTTOs – Research institutions – Incubators – AcademiaInvestors (pre-seed, seed, series A)R&D services – Preclinical CROs and CDMOsConsulting companies – Law firmsAssociations – Clusters – MediaHow did you hear about BioFIT ?*Former attendeeReceived an email from the organizersFound website by internet searchReceived or saw an event flyerPressReferred by a sponsor/partner or the conferenceReferred by friend, associate, employerLinkedInTwitterBlogsLinkedIn GroupYouTubeOther REGISTER ASDELEGATE*No pass - I want to register as an exhibitorMature company - €1,049Investor - €1,049Cluster | Association - €889TTO | Research institution | University - €689Emerging company | SME - €423Academic reseach fellow | Associate - €349Full pass - with access to the partnering activity VAT excludedEXHIBITOR*No stand - I want to register as a delegateStart-up corner 4m² - €1,500 - 1 full pass included6m² - €2,200 - 1 full pass included9m² - €3,300 - 1 full pass included12m² - €4,400 - 1 full pass included18m² - €6,600 - 2 full pass includedVAT excluded Will you participate in the BioParty on December 14th?*YesNoSPONSOR Please contact me to discuss sponsorship opportunities Do you have a coupon code?Please note that the discount code applies to the regular full price - VAT excludedConsent* I agree with the privacy policy.https://www.biofit-event.com/eurasante-privacy-policy/CAPTCHA
