JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Israeli Health Tech Business Visit to Romania | April 22 – 23, 2020
Please fill in the details below to submit your application to participate in the activity.
Participation Fee:
IEI Member: 250 EUR
Non IEI Member: 450 EUR
Applications will be reviewed and approved for participation!
* Indicates required question
Company
*
Your answer
Web
*
Your answer
Company ID (ח.פ.)
*
Your answer
Contact Name
*
Your answer
Title
*
Your answer
Email
*
Your answer
Mobile
*
Your answer
Does your product have CE/FDA?
*
CE
FDA
Not required
Required
Is your product commercialized?
*
Yes
No
Required
Are you already selling? Please mention a few countries and notable healthcare organizations / strategic business partners:
*
Your answer
Business Partners you are looking for:
*
Distributors
HealthCare Providers / Hospitals
Retail Pharmacy Chains
Medical Device Corporate
Pharma Companies
Research Institutes
EMR Vendors
Insurance Companies
Big Employers
Investors
Required
Hospital officials are you looking for / that best fit your business (General like CFO / CIO / CMO / Medication Management and Specific Clinical domain like Radiologists, Oncologists, Cardiologists, Pediatrics, Mental Health etc):
*
Your answer
Business Model: Who are you selling to and how do you plan to make revenue?
*
Saas
Hardware
B2B
B2B2C
B2C
Fee for service
other
Required
What are your main business goals in Romania today?
*
Product launch
Market penetration
Diverse business partners
Clinical sites for commercial deployment
Increase market presence
Other
Required
Anything else you'd like to share?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
