Sponsored and organized by:


WHERE INNOVATIVE LIFE SCIENCE COMPANIES

MEET INVESTORS
// Next Edition March 1st-2nd 2011 // Euro-Swiss Technopole
//Archamps//France

ONLINE PARTICIPANT REGISTRATION FORM

It is mandatory that you complete the fields marked with a *.

First name*

Middle initials

Last name*

Job Title*

Title*: Mr. Mrs. Dr. Prof.

Company*

Address*

City*

State/Province*

Postcode*

Country*

Telephone*

Fax *

E-mail*

Mobile Number

Company Website

Company Sector

 

Booking Contact /Secretary

First name

Last name

Telephone

Fax

E-mail

 


Participant registration fees:

Regular registration fee (Deadline Friday 25 February): CHF 750.- (Registration on-site: 975 CHF)
Special rate (indicate which code in the comments field)

Comments