fax:  007 (499) 795-25-76,  795-26-72
postal address: 123100,  Krasnopresnenskaya Nab.14, 123100 - Moscow, Russia , Consumer Goods & Medicine Exhibition Division
e-mail: sev@expocentr.ru,  makushkina@expocentr.ru,  gureeva@expocentr.ru; ignatova@expocentr,.ru
tel.: 007 (499) 795-28-71, 795-28-72, 795-39-43, 795-2815   		
	
APPLICATION FOR PARTICIPATION	
in the International exhibitions “ZDRAVOOKHRANENIYE-2014”,“HEALTHY LIFESTYLE-2014”
December 8-12, 2014	
During the period of the exhibition running, please, direct the application to the management of the exhibition. In any other time, please, send the application by fax or e-mail mentioned above. The deadline for submitting application – 1st of June, 2014. The applications submitted later will be satisfied at the presence of a technical opportunity, in this case we do not guarantee the publication of the information in a printed version of the Official exhibition catalogue.	
Company name	 Country	
Manufacturer	                                      Supplier                                                       		
	exhibitor		Organizer of a collective exposition	
Postal address	
telephone	fax	e-mail	
Contact person/Position                                                                                  	Tel. for contacts	
Rent of the indoor equipped booth:	space		м2	
Rent of the indoor raw space:	space		м2	
Please, mark the necessary category of exhibition theme subject below, which corresponds to your production profile during the exhibition
THEMATIC SECTORS  		THEMATIC SECTORS  		
High Medical Technologies. 		Primary Health Care.  Ambulance Transport. Emergency Medicine.
		
Modern Technologies in Medicine		Equipment for resuscitation, Anesthesiology		
Engineering, Construction and Equipping of Health Care Facilities
		Medical Furniture and equipment

				
Equipment for disinfection, sterilization, storage of sterile products and medical waste
		Laboratory equipment
		
Disinfectants		Surgical, gynecological, obstetrical equipment, tools and supplies

Endoscopy, Electrotherapy, minimally invasive surgery		
     Medical Consumables,  Medical Clothes				
     Nuclear Medicine				
X-ray and functional diagnostics     
		Pediatrics and Neonatology
		
Exhibition “HEALTHY LIFESTYLE”:    Preventive medicine, Traumatology, orthopedics and rehabilitation. Physiotherapy equipment.  Regenerative medicine. Sports medicine. Aesthetic medicine, cosmetology and dermatology. Technologies and products for healthy nutrition,  SPA&Wellness,  Medical treatment abroad, Pharmaceutical Supplies.                                                                                                                                                                                                                                                                                                                                                                                                                                           
		
   Other_____________________________________________________(please, specify)          		
The authorized representative of the applicant _______________________ /_______________/        «_______»_______________20__ г.
                      (name)                    (signature)                       (date)  
                                                                      М.П.
«_______»______________20__ г.

RUSSIAN HEALTH CARE WEEK
                                                                    Appendix № 1 
                                                                             	To be enclosed with the official application
                                                  	                                  Changes in the list are accepted till 15.10.2014
	
«ZDRAVOOKHRANENIYE - 2014»
«HEALTHY LIFESTYLE – 2014»
December 8-12, 2014
LIST OF PRODUCTS TO BE EXHIBITED AT COMPANY BOOTH DURING “ZDRAVOOKHRANENIYE-2014”/ «HEALTHY LIFESTYLE- 2014”  EXHIBITION, DECEMBER 8-12, 2014 EXPOCENTR FAIRGROUNDS, KRASNAYA PRESNYA, MOSCOW

EXHIBITOR NAME_____________________________________________________________________
COMPANY NAME IN THE OFFICIAL CATALOGUE ________________________________________
COMPANY NAME IN THE EXHIBITION GUIDE ____________________________________________
COUNTRY ____________________________________________________________________________
E-MAIL_______________________________________________________________________________ 
PHONE________________________________________________________________________________ 
FAX __________________________________________________________________________________
PERSON IN CHARGE____________________________________________________________________
PAVILION, BOOTH №___________________________________________________________________

	TYPE OF PRODUCT	REGISTERED TRADE MARK 	COUNTRY OF REGISTRATION OF TRADE MARK	MANUFACTURER COUNTRY & ADDRESS	
1.					
2.					
3.					
4.					
5.					

The signature of the person in charge _______________________________________ 
						seal