Israel Innovation Authority Start-up Pavilion Application
Join us at the start – up pavilion at MIXiii-BIOMED 2019!
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
Email address *
Company Name in English *
Your answer
Company Name in Hebrew *
Your answer
Company Registration Number (VAT) *
Your answer
Company website (full URL adress) *
Your answer
Company Profile *
Information about the company's innovation in Biomed and its operations.
Your answer
Company Address *
Your answer
Contact (Full Name, Job Title) *
Your answer
Contact Mobile *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service