Please complete the following form with the information on your company and its attending delegates. When you are finished, press the SUBMIT button appearing at the bottom of the page. * Required information BUYERS AND SPECIFIERS Company* Address* Country* Select:*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (malvinas)Faroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-bissauGuyanaHaitiHoly See (vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsle Of ManIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKorea Democratic Peoples Republic OfKorea Republic OfKosovoKuwaitKyrgyzstanLao Peoples Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts And NevisSaint LuciaSaint MartinSaint Pierre And MiquelonSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province Of ChinaTajikistanTanzania, United Republic OfThailandTimor-lesteTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.s.Wallis And FutunaYemenZambiaZimbabwe Phone (country code)* VAT (EEC countries) Postcode* City* Website* Company presentation (Max. 1000 characters)* Number and location of future projects* Person who performs the registration on behalf of the company Title Select: Mr. Mrs. Ms. Select: Dr. Prof. First name* Surname* Job title* Mobile phone (inc. country code)* Email* Additional comments Delegate 1 Title Select: Mr Madame Ms. Select: Dr. Prof. First name* Surname* Job title* Phone (inc. country code)* Mobile phone (inc. country code) Email* CC Email Delegate photo (jpg/png max 2mb) Delegate 2 Title Select: Mr Madame Ms. Select: Dr. Prof. First name Surname Job title Phone (inc. country code) Mobile phone (inc. country code) Email CC Email Delegate photo (jpg/png max 2mb) Login details Choose login email* Choose login password* Important notes Company and delegate information entered here will be displayed in the Delegates area of the event website and in the printed event directory. The responsibility for accuracy of information rests solely with delegates and the companies they represent. 1 Mobile phone numbers are only used for organisational purposes and not displayed in any online or print documents. 2 If you wish a copy of your e-mails to be sent to an additional person (e.g. your assistant), please enter the email address into this field. Terms & Conditions The flights, transfers from the airport to the hotel and back (only on March 13 and 16), three nights of accommodations at the hotel, and breakfast, lunch and dinner in accordance with the schedule, shall be provided and organised by Madison Business Forums S.L. During the work sessions, the buyers will be given their own space inside of the hotel, equipped with a desk, chairs and complementary services. This is where all of the meetings will be taking place. Only those individuals who are officially registered and confirmed by Madison Business Forums S.L. may attend the event. The delegates are responsible for having their own travel insurance, visas, vaccines, etc. The aforementioned are not the responsibility of Madison Business Forums S.L. Those participating in HOSPITALSPEC must agree that the use of all photographic images and video footage taken during the event may be used by the organiser, Madison Business Forums S.L. for the promotion of future events, if it so wishes. By submitting this registration form, you are confirming that you have the authority necessary to act in representation of the company being registered. Confirmation of places reserved for the event will be sent out in accordance with the criteria of Madison Business Forums S.L. Madison Business Forums S.L. reserves the right to amend the Terms and Conditions at any time with no prior notice or warning. * Mark this box to confirm that you wish to register and accept the contracting terms and conditions indicated above. * I accept the fact that my personal information will be used by Madison Business Forums S.L. for the sole purpose of providing the requested services. I agree that Madison Business Forums S.L. may divulge my personal information if required by Law or a court order.