Companies Application Form
CiMed connects Israeli Medical Technology companies to the Silicon Valley health and medical technology ecosystem.
Delegation date: June 6-8, 2017
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Application Information
APPLICATION IS FREE.

Participation fee includes year-long CICC membership and is due after participation has been confirmed.
    -Participation fee for CICC members: $2,050
    -Participation fee for non CICC members: $2,350

Application Deadline: March 3, 2017
Notification of Acceptance: March 31, 2017
Participation Fee Due: April 7, 2017
Company Name: *
Company website URL *
Year founded: *
Founders names: *
Number of full time employees: *
Office locations: *
(city, state)
Contact person full name: *
Contact person email address: *
Contact person phone number: *
 Category: *
Required
Who are your customers? *
Required
Describe the company's regulatory status:
(exm. Clinical trials stage, FDA Approved...)
In which phase of product development are you?
Clear selection
Are you Pre or Post revenue?
Clear selection
How is your product innovative in its market?
Demo URL:
Funds raised to date:   *
Source of funding: *
Required
Name your investors: *
Your digital footprint:
Provide any links for founders Twitter, Linkedin, facebook, etc. accounts
How would you like to benefit from participating in the delegation?
Delegation members are eligible for a full program from June 6-8, 2017 that includes visiting hospitals, clinics, corporates sessions with executives, VIP receptions, prescheduled meetings, a mentorship program and more.
How did you hear about CiMED? Did someone refer you to this summit? If yes, could you please name the person who referred you?
Is there anything else you would like to add to your application?
Submit
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