Welcome to the MEDIMEX online registration

This Form, to be filled in all its parts, allows to access the Medimex reserved area.
DATA FOR THE MEDIMEX GUIDE - until 15th september 2015!
This information will be printed in the MEDIMEX 2015 guide only if you purchase a stand and/or a badge by the 15th september 2015.
If billing data are different from catalog data
PLEASE INSERT HERE YOUR BILLING ADDRESS
Contact Person
Activity*
Associated to*
*Mandatory fields