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Mission de prospection internationale - VivaTech 2025

Paris, France, 11-12 June 2025

Name of the company

Company number (12345677890)

Address

Postal code

City

Company Website

I am a member of a cluster hosted by hub.brussels

I am a member of a cluster hosted by hub.brussels

Single Point of Contact

Gender

Gender

Name

Surname

Function

Contact (e-mail direct)

Mobile phone

Language

Language

Durability

Is my company on the path toward sustainable transition, respecting social and environmental dimensions?

Is my company on the path toward sustainable transition, respecting social and environmental dimensions?
A
B
C

Does my product or service support one or more United Nations Sustainable Development Goals (SDGs)?

Does my product or service support one or more United Nations Sustainable Development Goals (SDGs)?
A
B
C

Regitration

I am already present and active in foreign markets

I am already present and active in foreign markets
A
B

I am already present on the French market or wish to expand my activities there

I am already present on the French market or wish to expand my activities there
A
B

I would like to participate in the fair and follow the start-up delegation programme, among other things by registering for at least one of the start-up challenges. *Registrations are subject to availability and will only be confirmed upon approval by hub.brussels.

I would like to participate in the fair and follow the start-up delegation programme, among other things by registering for at least one of the start-up challenges. *Registrations are subject to availability and will only be confirmed upon approval by hub.brussels.

I acknowledge that if I cancel less than 30 days before the event, I will be required to pay hub.brussels the cost of the entry pass offered

I acknowledge that if I cancel less than 30 days before the event, I will be required to pay hub.brussels the cost of the entry pass offered

I agree to complete the evaluation form provided by hub.brussels after the event.

I agree to complete the evaluation form provided by hub.brussels after the event.

I have read and accept the general terms and conditions of participation. conditions de participation / deelnamevoorwaarden

I have read and accept the general terms and conditions of participation. conditions de participation / deelnamevoorwaarden

Signature

Signature