Request edit access
Israel Innovation Authority Start-Up Pavilion Application
Join us at the Start–Up Pavilion at MIXiii-BIOMED 2020!
As a first step, companies are kindly requested to apply for the Start-up Area by completing the form below.
please fill in the form in English.    
All applications will be considered by the Start-up Committee and the status notification (accepted or rejected) will be sent to all applicants.
If your company is selected to the Start-Up Pavilion you will be contacted regarding payment procedure.
Participation Tariff: 1,500 NIS + VAT
Sign in to Google to save your progress. Learn more
Company Name in English *
Company Name in Hebrew *
Company Registration Number (VAT) *
Company Profile *
Company website (full URL address) *
Contact (Full Name, Job Title) *
Contact Tel/Mobile *
Company Address *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms