Pharmex - Book your stand

Book Your Stand

Company Name(*)

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Company CEO(*)

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Representative(*)

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CEO Mobile No(*)

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Representative Phone No(*)

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Phone Number(*)

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Fax(*)

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Website

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E-Mail(*)

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Field Of Activity (max 20 words)(*)

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Address(*)

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The submitted information will be printed in the expo book without alterations.

Requested Area (m2)(*)

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Stand Title(badge)(*)

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Stand Construction(*)

YesNoInvalid Input

Three-phase electricity (*)

YesNoInvalid Input

Need Forklift ?(*)

YesNoInvalid Input

(*)

I have read and accept the terms of agreement. Invalid Input

Company CEO	Company’s CEO Mobile No
Please recheck your submitted information and confirm. These information will be used in the expo book and directory without any alterations

Company Name
.

.	.

Company’s Plenipotentiary Representative	Company’s Representative Mobile No
.	.

Phone Number	Fax
.	.

Website	E-Mail
.	.

Field Of Activity	Address
.	.

Requested Area	Stand Fascia
.	.

Stand Construction
.


Three-phase electricity	Forklift
.	.