Registration application

Your company

You are subscribing your company as a: *

Direct exhibitor
Co-exhibitor

Subscriber

Company name *
Address *
Address 1
Address 2
Post code *
Town *
State or county
Country *
Phone *
Fax *
E-mail *
Website
Legal form
Siret
VAT number

Company name to be used in the exhibitors'list and on your company name sign

Only the company name, the initials or brand name can be allowed.
The type of company e.g Itd liability company, public Itd Company, etc, as well as other terms must not be included.

Exposima accepts no responsability for erroneaous, faulty or wrongly placed inserting.
The exhibitor is the only responsible for the given information.

Exhibition Manager

Name *
Firstname *
Position *
Phone *
Mobile
E-mail *

Person who decides of your participation

Name
Firstname
Position
Phone
E-mail

Executives in your company

Invoicing address

If different from subscriiber
Company name
Adress
Address 1
Address 2
Post code
Town
State or county
Country
Phone
Fax
E-mail
VAT number
Name
Firstname
Position

Corresponding address

If different from subscriber. All correspondance relating to your participation will be sent to exhibition manager at this address.
Company name
Address
Address 1
Address 2
Post code
Town
Country
Phone
Fax
E-mail

Your activity sector

Main activity *
Other activity 1
Other activity 2
Other activity 3
Main business category *
Other business category 1
Other business category 2

Do you belong to a trade association ?

Main trade association

Is your company subsidiary of a group ?

Name of the headquarter
Country of the headquarter

Brands

The French data protection agency (CNIL) has been notified of the existence of this file. In accordance with the "French Data Protection Act", you have the right to access, rectify or object to information held about you and to have it deleted. You may refuse to allow this information to be disclosed to third parties. To exercise your rights, please write to the above address, giving your name and address and the name of the exhibition.