EgyHealth

Sep 2021

Exhibitors Registration

Contact Information

* Oragnization Name

* Chief Executive Title

* Chief Executive First Name

* Chief Executive Designation

* Contact Person Title

* Contact Person First Name

* Contact Person Last Name

* Contact Person Designation

Corporate Address

* Address Line 1

Address Line 2

* City

* Zip Code

* State

* Country

Phone

Fax

* Mobile

* Email

Alternate Email

Website

* Import Export Code (IEC)

Exporters Non Exporters

Correspondence Address

* Address Line 1

Address Line 2

* City

* Zip Code

* State

* Country

Phone

Fax

* Mobile

* Email

* Company Profile (complete list & range of products-not more than 1500 characters)

Exhibitors Information

* Scheme

* Area Required

I have carefully read and understood the General Exhibitor Rules printed overleaf and I agree to abide by them without any reservations whatsoever. I further understand that this Application form is valid only if accompanied by payment as per the specified payment schedule in the General Exhibitor Rules and as detailed under.