SIÑAL 2017

Online registration
The information you are about to provide will enable us to prepare an accurate description and presentation of your projects and needs in the official convention catalogue that is distributed to all participants. You will receive all the information and documents you need to organise your stay once we have received your completed application form.

 

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 2017:


REGISTRATION
Registration

Your registration includes:

  • Access to workshops for 2 days of attendance,
  • the participant presentation catalogue,
  • your personal schedule of appointments and workshops,
  • the assistance of abe throughout the convention.   
  • permanent access to the “coffee break”,
  • lunch on May 30th and 31st, 2017
  • invitation to the cocktail evening on May 30th.
  • 2 nights free of charge for any registration made before January, 31 , 2017 !!!


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
Co. Registration n°
VAT N°
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 *
deplier Participant 2  
deplier Participant 3  
deplier Participant 4  

MAIN ACTIVITY(IES)

SECONDARY ACTIVITY(IES)

CERTIFICATIONS

PRESENTATION OF PROJECTS
SHORT TERM (< 6 months):
Prefigured investment in K€:
MID TERME (6 to 18 months):
Prefigured investment in K€:
LONG TERME (> to 18 months):
Prefigured investment in K€:

YOUR NEEDS
Expertise and application fields
Expertise
Application fields

  I agree to participate in the SIÑAL 2017 convention or to appoint a replacement in case I cannot attend myself.
    Replacement (Surname, First name, Position):