Digital Health Belgium

More information and registration

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;

Company details

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

Personal info

Mr. / Ms. *

First name *

Last name *

Function *

Email address *

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

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

United Kingdom

Germany

North-America (US and/or Canada)

China

Other:

Information for invoice

Extra information

Are you interested in organised transportation from Rotterdam to Brugge?

Yes

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: tanja.voogd@innovationquarter.nl