CES 2018 Eureka Park Application

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Page 1

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BASIC CONTACT INFORMATION


Group - any country group, aggregator, accelerator, foundation or organization bringing more than one company



If "Other" is selected above, please provide name of international sales agent

Please submit a signed, stamped, & dated CES 2018 International Sales Agent Authorization Form. This is required if you are applying for space in Eureka Park though a sales representative.














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Page 2

CORPORATE INFORMATION



List up to three key personnel involved in either the management of the company, or the product development or research.


















































Page 3

CES INFORMATION


Select all that apply






List all the products you would showcase in Eureka Park if selected. You can submit up to three products.













AWARDS & OTHER INFORMATION

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