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East Africa Healthcare BSM 2025
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Central Asia Healthcare BSM 2025
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SELLER REGISTRATION FORM
REGISTRATION FOR
East Africa Healthcare BSM 2025
Egypt Pulp & Paper BSM 2025
COMPANY NAME *
PHONE (WITH AREA CODE) *
MOBILE *
EMAIL *
COMPANY WEBSITE
PRODUCTS/SERVICES
COMPANY OWNER NAME
PERSON AUTHORIZING THIS APPLICATION
POSITION IN THE COMPANY
COMPANY ADDRESS (WITH ZIP, CITY & STATE)
BUSINESS INFORMATION
1. Industry Sector (Please check all that apply): *
Healthcare
Pharmaceuticals
Medical Devices
Diagnostics
Other (Please specify):
Product/Service Categories (Please check all that apply): *
Medical Equipment
Pharmaceuticals
Hospital Supplies
Laboratory Products
Healthcare IT Solutions:
Other (Please specify):
Annual Revenue *
Less than $500,000
$500,000 – $1,000,000
$1,000,000 – $5,000,000
Over $5,000,000
Export Markets (Countries you currently export to)
Are you looking for distributors, agents, or partners? *
Yes
No
What is your primary objective for attending the event? *
Showcase products/services
Meet potential buyers
Explore partnership opportunities
Expand into new markets
Networking
Are you interested in pre-scheduled meetings with buyers? *
Yes
No
Please specify any additional information or special requirements for the event
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SELLERS
Name: Manoj Padaliya
Phone No.: +91-9870511161
Email: forumfareindia@gmail.com