TITLE

Mr. Ms.

FIRST NAME (as in your passport)*

LAST NAME (as in your passport)*

PHONE

MOBILE*

E-MAIL*

JOB FUNCTION*

COUNTRY*

COMPANY NAME*

COMPANY CITY

COMPANY ADDRESS

WEBSITE *

BUSINESS ACTIVITY*

MAIN REASONS OF YOUR CANDIDACY FOR CIBUS TEC TOP BUYERS PROGRAM*

ENGLISH SPOKEN*

Yes No

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 I've never attended CIBUS TEC

OTHER FOOD AND BEVERAGE TECHNOLOGY EXHIBITIONS VISITED

NOTES

Read the Complete Statement

I have read the Privacy Policy*

I have read and understood this Privacy Policy

Consent to receiving marketing communications*

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 companies owned by the Data Controller, market surveys and statistical analyses (purpose no. 9 of Chapter 4. PURPOSE OF PROCESSING AND LEGAL BASIS).