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Progetto IDEEO – Adesione / B2B

Modulo iscrizione

    Nome*:

    Cognome*:

    Funzione*:

    Nome Azienda/Istituzione*:

    Settore*:

    Città*:

    Sito Web:

    Email*:

    *Campi obbligatori

    B2B/NETWORK INTEREST

    Profile form

      CONTACT

      Name of company*:

      Contact person*:

      Email Address*:

      Address*

      Telephone

      Postcode*

      City*

      Website*

      Country*

      Description of activity:

      EXPERTISE OFFERED

      Description of activity*:

      Keywords specifying the expertise*:

      EXPERTISE REQUIRED

      Description of activity*:

      Keywords specifying the expertise*:

      EXPECTATIONS

      Term commitment*:
      Short(<1 year)Medium(1 to 3 years)Long(more than 3 years)

      Purpose*:
      aquire new technology / productdevelop new technology / productdemonstrate the viability of a new technology / productupgrade new technology / productother

      If you have chosen "Other":

      Target partner (expertise)*:

      Country*:

      Expected results for your organisation*:

      CONSENT

      I confirm that I am entitled to release the information provided in the Expression of Interest. I understand that information submitted in this form will be provided only to the Project Co-ordinator in the context of the Partner Search to which I am replying.

      Name*:

      Company*:

      Title*:

      Date (dd/mm/yyyy)*:

      *Required fields