Page Top

Request for Exhibiting

Recommended browser is Google Chrome.

Please complete this form if you are interested in participating as an exhibitor at Pharma IT & Digital Health Expo .
After sending this form you will receive a full exhibitor pack with details.

Fields marked with * are compulsory

Title *
First Name *
Last Name *
Company / Institutee *
Position *
If you don't have any "Position", please tick the box =>
Job Title *
If you don't have any "Job Title", please tick the box =>
Address *
Country 
Post Code 
Homepage-URL
TEL *
ex: +81-3-5296-1020
FAX
ex: +81-3-5296-1018
E-mail *
Booth Size
Products to be exhibited *
How did you know the exhibitions? Exhibited before
Visited before
Internet
Direct Mail
E-mail news
Acquaintance(s)
Advertisement
Others
Message

Your personal information submitted will be handled based on our privacy policy, and after completing registration, we may send you information about various events hosted by the Informa Group by e-mail or post. The Informa Group Privacy Policy can be found here.

Page Top