SIÑAL 2016

Online registration
The information you are about to provide will enable us to prepare an accurate description and presentation of your products and competencies in the official convention catalogue that is distributed to all participants.

Please enter your Operation code as it appears on the document in your possession (e-mail, fax, advertisement, ...):

If you do not have this code, please tell us how you heard about "SIÑAL 2016 " . :

Select your formula

Are you located in Champagne Ardenne or Picardie or IAR membe?

YES NO

First Package (4 m²)

€ excl. VAT

Business Package (6 m²)

€ excl. VAT

Executive Package (12 m²)

€ excl. VAT

Communication Package (12 m²)

€ excl. VAT

Start Package

€ excl. VAT

Foreign Delegation

€ excl. VAT

OPTIONS

Web banner on www.sinal-exhibition.eu € excl. VAT
Your Advertisement on www.sinal-exhibition.eu € excl. VAT
Organize a conference € excl. VAT


Additional appointment schedule		x € excl. VAT
You can optimize your participation with this schedule. (Only available as part of the SIÑAL Executive packages). The service includes: - 1 extra appointment schedule (at your stand). - 1 extra set of furniture (1 table + 4 chairs). - Free registration of an extra person.

Additional person		x € excl. VAT
SIÑAL technical catalogue gives you the opportunity to get a detailed information on all thee Decision Makers attending the event. Why more than one person? - You optimize your participation, you meet a maximum of contacts, you can receive decision-makers who come to your stand spontaneously and you can manage your participation with greater availability. - You give the people you meet a more accurate knowledge of your expertise (Presence of an expert).

Innovation forum

The innovation may concern a product, an equipement, a process or a service representing a high added value for the user.
The winners honored by the Jury will be rewarded at a ceremony awards. (2 awards)
You want to present a product / a process within the Innovation Forum ? (FREE REGISTRATION)
YES NO

COMPANY’S PROFILE
COMPANY	*
Address	*
Address 2	*
Post Code	*
Town	*
Country	*
Phone (eg: +33(0)x xx xx xx xx)	*
Fax (eg: +33(0)x xx xx xx xx)	*
E-mail
Web Site
NAF Code
Turnover
Number of employees
Group affiliation
Member of an association, professional syndicate

REGISTRATION
Person in charge of this registration
Title	*
First Name	*
Name	*
Position (FR/GB)
Mobile phone (eg: +33(0)x xx xx xx xx) Private to the organiser	*
Direct phone (eg: +33(0)x xx xx xx xx)	*
E-Mail	*

Identification of the participants
Participant 1
Title	*
First Name	*
Surname	*
Position (FR/GB)	*
Mobile phone (eg: +33(0)x xx xx xx xx) Private to the organiser	*
Direct phone (eg: +33(0)x xx xx xx xx)	*
Direct Fax (eg: +33(0)x xx xx xx xx)	*
E-Mail	*
Participant 2
Title
First Name
Name
Position (FR/GB)
Mobile phone (eg: +33(0)x xx xx xx xx) Private to the organiser
Direct phone (eg: +33(0)x xx xx xx xx)
Direct Fax (eg: +33(0)x xx xx xx xx)
E-Mail
Participant 3
Title
First Name
Name
Position (FR/GB)
Mobile phone (eg: +33(0)x xx xx xx xx) Private to the organiser
Direct phone (eg: +33(0)x xx xx xx xx)
Direct Fax (eg: +33(0)x xx xx xx xx)
E-Mail
Participant 4
Title
First Name
Name
Position (FR/GB)
Mobile phone (eg: +33(0)x xx xx xx xx) Private to the organiser
Direct phone (eg: +33(0)x xx xx xx xx)
Direct Fax (eg: +33(0)x xx xx xx xx)
E-Mail

Billing contact
Company	*
Registration N°
VAT N° / IVA	*
Title	*
First name	*
Name	*
Department	*
Address	*
Post Code	*
Town	*
Country
Direct phone (eg: +33(0)x xx xx xx xx)	*
Fax (eg: +33(0)x xx xx xx xx)
E-mail

MAIN ACTIVITY(IES)

SECONDARY ACTIVITY(IES)

OFFERED COMPETENCES