This form is in English because some parts will be shared with our hosts and other international guests that we excpect to encounter.
Great to have you with us during our Digital Health mission to Belgium!
Please fill in this form completely. Questions marked with a * are obligatory
The form has 3 parts:
1. Information that is used to share with other participants;
2. Information to prepare for the match making.
3. Information for the invoice;
Organisation name *
Nr. Chamber of Commerce
Year of establishment
Company size (nr. of employees)
Which statement fits best?
My company is not yet internationally active (export, investments, collaboration, etc.)
My company is internationally active, but not yet in Belgium
We are already active on the Belgium market
Mobile number *
Website (international) *
Match making info
This information will be used by our partners in Belgium to find interesting parties that you will meet during the partnering and matchmaking events.
A short profile of your company, max. 150 words (in English) *
Please provide a short organisation description, type of organisation (research, education, manufacturer, engineering), field of activities, position in the market).
Products and services offered for cooperation (in English).
Please describe product name, type of product, function and application, status of development, unique selling points, markets to be applied, what do you offer, etc.
If possible: include weblinks to product pages on your website.
I am joining this mission because I
Want to start selling my products on the Belgium market
I am interested in learning more about Belgium eHealth technologies and developments
want to set up an office in Belgium
I am looking for investment opportunities in the Belgium (e)Health sector
Types of contacts wanted
importer / distributor / sales
Profile of contacts wanted (in English)
Please describe product, technology or expertise you are looking for, type of cooperation, expertise of the partner, market position of the partner, etc.
Specific contacts you want us to approach (in English)
Are there any specific companies / organizations you would like to meet during this trade mission?
Additional remarks and other things to discuss.
Any additional info that can help us finding the right partners for you.
Other countries that I am interested in
North-America (US and/or Canada)
Information for invoice
Are you interested in organised transportation from Rotterdam to Brugge?
If you have any (food) allergies or specific dietary requirements (e.g. vegetarian) that we need to be aware of, please let us know
Please upload your profile picture that can be used for the congress and the profile book of the participants. Specs: jpg (300dpi, CMYK)
Please upload you company logo. Specs: jpg (300dpi, CMYK) of ai or eps
If you have any questions about this form or if you want any further information, please contact Tanja Voogd: firstname.lastname@example.org
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