Design Expo application form - part 1

Please fill in the application form to submit your application for I4H Design Expo 2020.
Fill in the form as complete as possible and if possible also upload additional images/photos of your product/concept. This will increase your chance of being selected for the Design Expo. The final deadline for application is 15 January 2020. The sooner your register, the better your chances of being selected.

First name*

Surname*

Organisation / Institute*

E-mail*

Mobile phone number*

Address

Postal code

City

Project title*

Abstract/description of the project:

Upload image(s) of design/prototype

Order (fees are excl. 21% VAT)

Electricity (16 Amp/6,5kW): €55 Chair: €15 Poster board: €45

Security code: CAPTCHA Image

Code*

Please enter the security code as shown on the image.