IMAGINENANO 2015

Exhibitor Registration

General Info

All fields are mandatory

Company

Type of institution

Address

Postcode

City

Country

VAT number

Sector

Person in charge (name of the person attending - Global Pass)

Job Title

First Name

Last Name

Phone

E-mail

How many institutions do you represent?

Exhibition Selection (More Info)

Basic Package 4 m²

Standard Package 4 m² 6 m² 8 m² 12 m² 16 m²

Premium Package 4 m² 6 m² 8 m² 12 m² 16 m²

Space Rental Only (>24m²) m²

2nd Person (Global Pass)

Job Title

First Name

Last Name

E-mail

3rd Person (Exhibition Pass)

Job Title

First Name

Last Name

E-mail

4th Person (Exhibition Pass)

Job Title

First Name

Last Name

E-mail

2nd Person (Global Pass)

Job Title

First Name

Last Name

E-mail

3rd Person (Exhibition Pass)

Job Title

First Name

Last Name

E-mail

4th Person (Exhibition Pass)

Job Title

First Name

Last Name

E-mail

5th Person (Exhibition Pass)

Job Title

First Name

Last Name

E-mail

6th Person (Exhibition Pass)

Job Title

First Name

Last Name

E-mail

ImagineNano 2015