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Industrial Track Participation Proposal

Company Details

Title(*)		Please Enter Title
Company Description (*)		Please Enter Project Description
Company Contact Name (*)		Please Enter Project Coordinator
Company URL (if available)
Other relevant information

Industrial Track Space Participating Forms

By which way would you be interested in participating in this event (select as many as apply):

Company Presentation

Demo

Booth

Poster Display

Special Session

Panel/Round table

Workshop

Other. Please Specify:

Please specify any additional details that you consider relevant to your proposal.

Participant Details

Title(*)		Please Select a Title
Name(*)		Please Enter First Name Please Enter Last Name
Affiliation(*)		Please Enter an Affiliation
Country(*)		Please Select a Country
E-mail(*)		Please Enter an Email Please Enter a valid E-Mail address
Telephone(*)		Please Enter Telephone
Skype ID
Brief Biography(*)		Please Enter Biography

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