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Online Visitor Registration Form

You can qualify for FREE 2-day tabletop exposition visitor admission (save € 25!) to the MEDTEC Ireland show by completing and submitting this form. Please complete and submit the entire form by 11 September 2008 and pick up your badge at the show. If you would prefer to fax your registration, please click here.

To register for the conference please complete this form.

If you have any queries regarding MEDTEC Ireland or if you would like to also register for the MEDTEC Ireland Conference, please ring the MEDTEC Ireland Help Desk at +353 1 8060557.

Show management reserves the right to refuse registration. No one under 18 is permitted in the tabletop exposition or conference meeting rooms.

All fields must be completed in order to process your registration form.

  
Title
First Name
Family Name
Job Title
Company
Address
Address continued
City
County/State
Postcode
Country
Tel (int'l code) (number) (0)
Fax (int'l code) (number) (0)
E-Mail

Please enter the two-letter Promo Code on your MEDTEC Ireland mailer/fax/ad, etc.
Look for your Promo Code below the www.medtecireland.com Website address on your mailer, fax, e-mail, or ad. If you do not know the Promo Code, please skip this question. If you came to this site via a search engine, please enter WS.

What is the primary description of your employer? (Select one)
A. Mfr. of Finished Medical Devices (other than Vascular or Orthopaedic)
B. Mfr. of Medical Electronic Equipment
C. Mfr. and Distributor of In Vitro Diagnostics
D. Mfr. of Pharmaceuticals
E. Mfg. Services Provider (includes contract mfg., packaging, sterilisation, R&D, testing and design)
F. Mfr. of Vascular or Orthopaedic Devices
G. Government/Academic
H. Other (Please specify)
What is your primary job function? (Select one)
A. Product Design Engineering (incl. Design & Eng. Mgmt.)
B. Project Engineering (incl. Proj. Eng. Mgmt.)
C. R & D
D. Production/Mfg. (incl. Prod./Mfg. Mgmt.)
E. Process Engineering (incl. Process Eng. Mgmt.)
F. Procurement/Specifying/Materials Mgmt./Inventory Control
G. QA/QC
H. Regulatory/Legal Affairs
I. General/Corp. Mgmt.
J. Marketing
K. Sales
L. Consultant
M. Other (Please specify)
What is your main reason for visiting? (Select one)
A. To Make New Contacts
B. To Network with Existing Contacts/Colleagues
C. To Learn about New Products, Services, or Technologies
D. To Evaluate Exhibiting in the Future
E. To Gather Information for a Purchasing Decision
F. To Make a Purchase

Please send me additional information about the MEDTEC Ireland Conference Programme.

Are you a subscriber to European Medical Device Manufacturer (EMDM) magazine?
Yes No

Do you wish to receive/continue to receive European Medical Device Manufacturer (EMDM) for free? Yes No

What is your eye color?
In order to verify your on-line subscription request, we are required to ask a personal identifying question. This information is used SOLELY for the purpose of auditing your request.

Please select your registration type:

Registration Type Registration
Exhibition only
(prior to 11 September)

FREE

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