Welcome to the on-line delegate registration system for

Partners4LifeScience

Registration for this event is FREE

Please take care to complete the form below with as much information and detail as possible.  Please indicate what your organisation does and what type of collaboration profile you would like to submit. A profile may take the form of a business or technology offer, a request for partner contacts or the offer a specific know-how / expertise. Please also indicate what type of collaboration you require. 

This information is very important as it will help the other delegates see if you are a potential contact for their organisation.  If your profile is 'interesting' it will encourage the other delegates to request a face to face meeting with you at the event.  If your delegate profile is unexciting and lacking in information, you probably won't get many requests to meet with you !  Which will be a lost opportunity for both you and your business / organisation.

 


1. Personal Details
Title(e.g. Mr / Mrs / Miss / Dr / etc.)
* First Name:
* Last Name:
* Job Title
* Company / Organisation:
* Address1:
Address2:
Address 3:
* Town or City
* County or State
* Post or Zip Code:
* Country:
2. Contact Details
* Email Address:
* Password: (max 25 chrs)
* Re-type Password:
* Telephone No: (include international  code):
Mobile Number:
Fax No.:
Web Address:
3. Business partnering requirements

* Nature of business:

(15 characters minumum)


(150 characters max)

* General Business Description

Please explain in some detail what your business is all about and what it does!

(25 characters minimum)


(1000 characters max)

*Cooperation Desired

("I would like to buy")

Please supply details of all types of co-operation you desire

Click here for some tips on filling in this section

(25 characters minimum)


(500 characters max)

*Cooperation Offered

("I want to sell")

Please supply details of all types of co-operation you offer

Click here for some tips on filling in this section

(25 characters minimum)


(500 characters max)
4. Business Categories

Please select the sectors of business
in which you operate.

Life Science / Biotechnology
Medical Devices and Equipment
Health IT and Systems
Testing and Medical Laboratories
Other Life Science related products and services
Research and Development Activities
Healthcare Provider
University / College
Source of Investment Capital and Finance
Private Company
Business Consulting and Advice
Government Agency or Council
Business Support Organisation
Student
Other Business Related Activities
5. How did you find out about this event?
 


6. Number of employees
 
7. Are you a member of The Partners4Business Network?
Yes
8. Event Payment

Please select the Invoice amount that applies to you.
You will be sent an invoice within the next 30 days.

Before submitting your application please read the following statements.

Statement 1: I agree that the organisers of this event can use any or all of my contact details provided above to keep me up-to-date on developments with the event or the Partners4Business service.

Statement 2: I agree that the organisers of this event will keep my details safe and that they will only be used by the organisers and their appointed agents or partners for the specific purpose of promoting future business cooperation events or similar business and technology partnering initiatives.

Statement 3: I have read and agree to the Terms and Conditions and Privacy Statement relating to this event website.

Special Promotion.
FREE complimentary 12 month listing for your business on the Partners4Business website
Please tick this box if you would like your details displayed on the Partners4Business website.

This event uses the ‘DELNET’ delegate registration and 1-2-1 meeting scheduling system. 
DELNET is owned and operated by Allancia Limited

Copyright © 2009 Allancia Limited ...Tel / Fax 0191 415 7340 .. Powered by a CONNECT 1-2-1 meeting management solution