Israel Water Delegation to the UK, 3-7 March 2013

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Thank you for your interest in the water delegation to the UK 3-7 March.
Please fill out the following application form.

Deadline for submission: 24 January 2013

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* 1. Contact Info

First name

Last name

Company

Job title

Contact telephone number

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* 2. Company Info

Company URL address

CEO Name

Year Founded

Offices Located Outside Israel (if any, list)

Number of 2012 Customers

List investors and describe financing status

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* 3. What is your company's product or service? What problem or opportunity does it address?

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* 4. How do you hope that your company will benefit from this trip to the UK?

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* 5. Describe current UK customers/investors/partners

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* 6. What element of the progamme are you interested in participating?

Two days of tailored programming with UK water industry leaders (4-5 March)

Two days of tailored programming with UK water industry leaders AND attend the World Water-Tech Investment Summit (4-7 March)