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,בברכה

אורלי שני
מנכ"ל משותף
רותי קורן
מנכ"ל משותף
Registration Form
*Company Name
*First Name
*Last Name
Position
*Email
Address
*Phone
*Fax
Web Site
Company Profile
PLEASE ATTACH THE FOLLOWING (UP TO 400 WORDS):
*Industry Major Company Industry
*Product and Technology
*Stage of R&D
*Strategic Alliances and Partners
*Company Brief and Team
Registration Fee:
3,000 USD per company
(limited to 3 participants per company).

Registration Fee includes
* Submission of company profile to the relevant companies in LA.
* Presentation at the companies in LA.
* Pre-setting of meetings in LA.
* Participation in the TechNovation Conference to be held in New York On September 7th.
* Company presentation in the TechNovation Conference in New York.

For us to be able to assist in obtaining the meetings and presentations in LA, we would need company profile and the data indicated in the registration form to be submitted until the 25th June, 2006.
*Credit Card No.
   
*Expiration date
(mm/yy)
  
*Credit Type Visa Amex Master Card
Security Code 
(last 3 digits on signature band on back of card)
*Name as shown on card

ID No. For Israelis Only
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