TITLE
Mr.
Ms.
FIRST NAME (as in your passport)
*
LAST NAME (as in your passport)
*
PHONE
MOBILE
*
E-MAIL
*
JOB FUNCTION
*
Select
President
CEO
Owner
General Manager
Chief Operation Officer
Chief Technology Officer
Operation Manager
Mechanical Engineer
Plant Manager
R&D
Supply Chain
Other
OTHER (please specify)
*
OTHER JOB FUNCTION (please specify)
COUNTRY
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Select
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Virgin Islands, British
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
COMPANY NAME
*
COMPANY CITY
COMPANY ADDRESS
WEBSITE
*
BUSINESS ACTIVITY
*
Select
Food & Beverage Producer
Agent / Distributor of Technologies
Retailer
Other
OTHER (please specify)
*
OTHER BUSINESS ACTIVITY (please specify)
SECTOR OF ACTIVITY
*
Fruit - Fresh Cut
Fruit - Canned and Preserves
Fruit - Dried
Fruit - Pulps
Fruit - Juices
Vegetables - Convenience and Fresh Cut Products
Vegetables - Canned and Preserves
Vegetables - Tomato Preserves
Vegetables - Sauces
Milk and Liquid Milk Products
Dairy Products
Ice Cream and Desserts
Meat and Poultry
Deli Meats and Cold Cuts
Fish and Seafood
Bakery
Cereal Based Products
Snacks
Confectionery
Chocolate
Ready Meals
Water and Soft Drinks
Beer
Hot Beverages
Wine and Spirits
Oils and Fats
Other
OTHER SECTOR OF ACTIVITY - Other
SECTOR OF ACTIVITY
*
Fruit - Fresh Cut
Fruit - Canned and Preserves
Fruit - Dried
Fruit - Pulps
Fruit - Juices
Vegetables - Convenience and Fresh Cut Products
Vegetables - Canned and Preserves
Vegetables - Tomato Preserves
Vegetables - Sauces
Milk and Liquid Milk Products
Dairy Products
Ice Cream and Desserts
Meat and Poultry
Deli Meats and Cold Cuts
Fish and Seafood
Bakery
Cereal Based Products
Snacks
Confectionery
Chocolate
Ready Meals
Water and Soft Drinks
Beer
Hot Beverages
Wine and Spirits
Oils and Fats
Other
Other value
TOTAL SALES IN EURO
Select
< 1 MILLION €
1 - 5 MILLION €
5 - 10 MILLION €
10 - 50 MILLION €
50 - 100 MILLION €
100 - 500 MILLION €
500 - 999 MILLION €
> 1 BILLION €
EMPLOYEES NUMBER
Select
<10
10-50
50-100
100-500
500-1000
>1000
MAIN PROCESSING OR PACKAGING MACHINES INSTALLED IN YOUR COMPANY
TECHNOLOGIES OF INTEREST
*
Processing
Packaging
Filling / Bottling
Labelling / Marking / Coding
End-of-line
Handling
Storage
Logistics
Materials and accessories
Components
Automation
Factory services
Ingredients
Analysis and laboratories / Food Safety / Cleaning
Other
TECHNOLOGIES OF INTEREST - Other ( please specify )
TECHNOLOGIES OF INTEREST
*
Processing
Packaging
Filling / Bottling
Labelling / Marking / Coding
End-of-line
Handling
Storage
Logistics
Materials and accessories
Components
Automation
Factory services
Ingredients
Analysis and laboratories / Food Safety / Cleaning
Other
Other value
MAIN REASONS OF YOUR CANDIDACY FOR CIBUS TEC TOP BUYERS PROGRAM
*
ENGLISH SPOKEN
*
Yes
No
Other spoken languages (please specify)
OTHER SPOKEN LANGUAGES
*
Select
Italian
German
French
Spanish
Portuguese
Russian
Chinese
Japanese
Arabic
Turkish
Farsi
Other
OTHER SPOKEN LANGUAGES
*
LAST EDITIONS OF CIBUS TEC YOU VISITED
CIBUS TEC 2011 or before
CIBUS TEC 2014
CIBUS TEC 2016
CIBUS TEC 2019
CIBUS TEC FORUM 2022
CIBUS TEC 2023
I've never attended CIBUS TEC
LAST EDITIONS OF CIBUS TEC YOU VISITED
CIBUS TEC 2011 or before
CIBUS TEC 2014
CIBUS TEC 2016
CIBUS TEC 2019
CIBUS TEC FORUM 2022
CIBUS TEC 2023
I've never attended CIBUS TEC
OTHER FOOD AND BEVERAGE TECHNOLOGY EXHIBITIONS VISITED
NOTES
Read the Complete Statement
I have read the Privacy Policy
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I have read and understood this Privacy Policy
Consent to receiving marketing communications
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I give my consent
I do not give my consent
to receiving commercial/promotional communications, by automated means (such as email, newsletters) and traditional methods (such as telephone calls with operator) made by the Data Controller on the basis of the product preferences that I have expressed as well as products/services of the Data Controller or companies owned by the Data Controller has an interest, market surveys and statistical analyses (purpose no. 9 of Chapter 4. PURPOSE OF PROCESSING AND LEGAL BASIS).
Please check inserted values.
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