Business Delegation & Forum in Tel Aviv, Israel – 9-10 November 2022

Company Name

Participant Name & Surname

Name & Surname of accompanying persons:

Corporate Title

Email Address (for sending relevant information)

Office Phone

Mobile Phone

Address or PO Box (for sending invoice/receipt)

Description of Company Activity:

Areas of interest for cooperation

Comments

Personal & Company Data

I hereby authorise the CCCI, the Ministry of Energy, Commerce and Industry and their partners in Israel to use my personal data, as well as our company data for the purposes of the aforementioned event. I also consent that the CCCI might use the aforementioned data for informing us about other activities organised by the CCCI and/or the Business Associations operating under its auspices.