Organisation Name *
Contact Name *
Your position in the organisation *
Telephone number: (including international dialing code) *
Street *
Number *
Postal code *
City *
Website *
Region *
None Aachen-Cologne, DE Ireland, IE Kent County, UK Province of Gelderland, NL Province of Noord Brabant, NL Province of Overijssel, NL Region Catalonia, ES Region of Bretagne, FR Region of Hauts-de-France, FR Region of Pays de la Loire, FR Region of Wallonia, BE State of Baden-Württemberg, DE
How many people does your organisation employ? *
What is your annual turnover? (most recent available figure) *
- Select - 0 - €100000 €100000 - €500000 €500000 - €1m €1m - €5m €5m - €10m €10m - €20m €20m - €50m
In what field does your business operate? *
- Select - Biotechnology Medical Technology Pharmaceuticals Nutrition
Please give a brief description of your main products or services: *
Which step of the venture cycle best describes your main products or services? *
- Select - Concept Seed Product Market Steady State
How did you hear about the Boost4Health project? *