COMPANY NAME
COMPANY/CHARITY NUMBER (If any)
FIRST NAME
LAST NAME
EMAIL ADDRESS
ADDRESS
PHONE NUMBER
SOCIAL MEDIA HANDLE
WEBSITE
IS YOUR PRODUCT / SERVICE LICENSED ? SELECT OPTIONYESNO
(please provide details if any)
DOES YOUR PRODUCT / SERVICE HAVE THE RELEVANT APPROVAL SELECT OPTIONYESNO
DOES YOUR PRODUCT / SERVICE HAVE THE RELEVANT APPROVAL
DO YOU REQUIRE A LICENSE? SELECT OPTIONYESNO
ORGANIZATION TYPE SELECT OPTIONSOLE OWNERDEMONSTRATORCORPORATIONSALES VENDORNON PROFITINFORMATION BOOTHOTHER
IF OTHERS, PROVIDE DETAILS
APPLYING AS SELECT OPTIONSOLE OWNERDEMONSTRATORCORPORATIONSALES VENDORNON PROFITINFORMATION BOOTHOTHER
DESCRIPTION / TYPE OF YOUR PRODUCT(S)
ANY OTHER INFORMATION (e.g: allergies to be noted... etc?)
PLEASE DESCRIBE WHAT YOU WOULD LIKE TO ACCOMPLISH AT THIS EVENT
PLEASE SUBMIT YOU LABEL (IF ANY) TOGETHER WITH THIS FORM (3MB MAX)
