Brokerage Event Application
Calling all Dairy Researchers and Innovators!
Sign in to Google to save your progress. Learn more
Salutation: *
First Name: *
Last Name: *
Date of Birth: *
MM
/
DD
/
YYYY
Please Specify Your Gender *
Do you Reside in Lebanon? *
Email Address: *
Please insert your LinkedIn Account Link:
Mobile Phone: *
Job Title *
Do you have experience and knowledge in: *
Are you applying as a: *
Organization Name: *
Organization Website/Social Media: *
Is it a registered legal entity in your  respective country?: *
Do you have an innovative solution addressing the Dairy Value Chain challenges and/or opportunities? *
If yes, please provide a short description, including: - The problem you are addressing - The solution: your product/service, research or technology project, its unique characteristics and applicability for the need - Your target market - Your revenue model and financial viability (how are you planning to generate revenue)  - The technology or innovation description (if it integrates bio/nano or ICT technologies) *
Is your technology/business/product running in the market? *
Please state if you have any team members (name(s) and family name(s)) along with their respective expertise *
Are you looking for investment or partnerships? *
What kind of  investment or partnerships are you looking for? *
How did you hear about the event? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy