Registration for African companies

Benelux Agro-Industrial Investment Trade Mission to Chad

VIP Delegate Registration form for African Delegate
Personal information
Your name*
First Last
Your email*
Number of persons*
Please enter a number from 1 to 5.
Date: 08 till 11th of December Quantity
Price:
Exhibition booth 3mx3m (9m2) Quantity
Price: € 770,00
Exhibition booth 4mx3m (12m2) Quantity
Price: € 1.250,00
You can add up to 4 extra participants. Please provide the full details of each visitor(s). All fields must be completed.
Personal information
First name Middle & last name Name (passport) Initials
Company Information
Address*
Street Address City ZIP / Postal Code Country
Email
Company name*
Company activities
Active in the regions
- N/A
- Europe (West)
- Europe (East)
- Asia
- North America
- Latin America
- Middle East
- Africa
VAT Registration number*
Secretariat
Title
Name
First Last
Email Secretariat
Phone
Interests
Main goals*
- Company visits
- Fact finding
- Knowledge building
- Matchmaking
- Partner search
- Trade fair
- Workshop
- Other
Specific interests*
Special requests
Expectations*
Remarks
Terms and conditions
View terms and conditions
Agree*
- I've read the conditions and agree to them
Resume costs and Invoice details

We will send you a formal invoice by mail.
Subtotal participation
Subtotal Booth rent
TOTAL
Choose a payment method*
- Bank Transfer (Invoice)

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First name	Middle & last name	Name (passport)	Initials

VIP Delegate Registration form for African Delegate