On-line Application Form

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Company name:*

Country:*

Postal address:*

Phone:*

Fax:*

Email:*

Website:

Person to contact (full name, mobile phone):*

Position:

Exhibition space:

Indoor unequipped (inside the pavilion), sq. m:*

Indoor with standard stand, sq. m:

Please mark the thematic sector which corresponds to your company�s type of product / equipment:*

	Spa facilities, health resorts
	Medical centres and clinics
	Centres of aesthetic medicine
	Medical tourism agencies
	Other

Please enter the text below:*

After you send the duly filled in application, our manager will contact you. The manager will supervise all issues concerning participation of your company in the exhibition.

By clicking the "Send" button, you consent to the collection, processing and use of your personal data.

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