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.באם אתה מעוניין לקחת חלק במשלחת, אנא מלא את הטופס המצורף ושלח אלינו ! מספר המקומות מוגבל ,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) Month 01 02 03 04 05 06 07 08 09 10 11 12    Year 2006 2007 2008 2009 2010 2011 2012 *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 Your comments