GENERAL INSTRUCTIONS:

  • Complete this online form for FREE exhibition hall.
  • Exhibition hall pre-registration is free. If you do not register in advance, there is a 5,000JPY On-site Registration fee. Cash only is accepted.
  • If you have already registered and would like to update your registration record, please CLICK HERE.
  • Conference will be held only in Japanese. If you would like to attend the conference, please register from Japanese site.
  • If you experience difficulty completing this form, please e-mail helpdeskjapan@medtec-japan.com.
  • No one under the age of 18 years is permitted in the exhibition halls or conference meeting rooms. Show management reserves the right to refuse registration.

Title Mr. Ms. Dr. Prof. Other
Full Name

First Name

Family Name
Company Name
Department
Blank (If not applicable, please select "Blank")
Title (in your company)
Blank (If not applicable, please select "Blank")
Address Address1
Address2
City
Province / State / Prefecture
Zip/Postal code
Country
Tel
Fax
Mobile Phone
E-mail
Please type in email address again for confirmation

Please answer the following questions.

1. Please describe your company's business (Check all that apply):

Original Equipment Manufacturer (OEM) of Medical Devices
Manufacturer of IVD Tests
Subcontractor or Contract Manufacturer of Medical Devices
Distributor of Medical Devices
Association / Government
Doctor/Nurse
Care/Welfare Device Manufacturer
Care/Welfare Robot Manufacturer
Testing Device Manufacturer
Pharmaceutical Company
Medical Institution
Nursing Home
Welfare Facility
Clinical Testing Facility
Other Industry

2. What is your primary job function? (Check one by choosing the closest answer):

Design Engineering / Product design
R&D
Production/ Manufacturing
Procurement
QA/QC
Legal / Regulatory Affairs
General/Corporate Management
Marketing / Communication
Sales
Consultant
Packaging
Business Development
Finance / Administration
Clinical Research
Scientific Research
Academic
Doctor/Nurse
Career
Nurse
Clinical researcher

3. What is your company's primary end product? (Check all that apply):

Anesthesiology and Pulmonary Medicine
Cardiovascular
Dental
Drug Delivery Systems
Ear/Nose/Throat
General (General Hospital and Personal Use)
In Vitro Diagnostics
General Diagnostics
Neurology
Obstetrics and Gynecology
Ophthalmic
Orthopaedics
Pharmaceuticals
Pharmaceutical Packaging
Physical Medicine
Imaging Subsystem
Radiology
Surgery
Electronic Medical Equipment
Care/Welfare Device
Care/Welfare Robot
Testing Device/System
Pharmaceutical Products
Other

Other, please specify:

4. Who is your company's target customer? (check one):

A Medical Device Manufacturer
Medical Device End User (i.e. hospital/surgeon/nurse/ clinical scientist)
Care/Welfare Device Manufacturer
Care/Welfare End User (Care/Nursing Homes, Rehabilitation Facilities etc.)
Other

Other, please specify:

5. What is your main reason for visiting? (check one)

To make new contacts
For networking purposes
To find new vendors
To find solutions for specific problems
To learn about new products, services or technologies
To evaluate exhibiting in the future
To gather information for a purchasing decision
To make a purchase
Other

Other, please specify:

6. Are you responsible for the purchasing of products or services exhibited at Medtec Japan? (check one):

Yes, as a final decision-maker
Yes, as a co decision-maker
Yes, as an advisor/influential
No, I'm not involved at all

7. Where or how did you get information about the exhibition?

email notification from an exhibitor
email notification from the organizer
printed invitation from an exhibitor
printed invitation from the organizer
Referrals from superiors and colleagues
search engine
advertisement
other

Detail information

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+ Please input your title.
  
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