Billing Information:

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* 1. First and Last Name:

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* 2. Name of Company:

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* 3. Registered Name of the Company (is different from above):

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* 4. Membership Level

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* 5. Billing Address:

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* 6. Phone number:

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* 7. Email address:

Submission Information

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* 8. Responsible Person:

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* 9. First and Last Name:

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* 10. Function/title:

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* 11. Email:

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* 12. Phone Number:

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* 13. Was this product or service submitted in 2020?

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* 14. Total amount of submissions:

Submission 1

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* 15. Category:

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* 16. Name of product, service, innovation, or technology:

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* 17. URL (if applicable):

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* 18. Description:

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* 19. Usage Information:

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* 20. Customer Testimonials:

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* 21. Describe why this product/service represents innovation:

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* 22. Marketing, Advertising, Promotion: describe impact and/or ROI:

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* 23. If this product was submitted before, what changes have been made to the product since its last submission:

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* 24. Supportive Material 1

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* 25. Supportive Material 2

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* 26. Supportive Material 3

Submission 2 (if applicable)

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* 27. Category:

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* 28. Name of product, service, innovation, or technology:

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* 29. URL (if applicable):

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* 30. Description:

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* 31. Usage Information:

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* 32. Customer Testimonials:

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* 33. Describe why this product/service represents innovation:

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* 34. Marketing, Advertising, Promotion: describe impact and/or ROI:

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* 35. If this product was submitted before, what changes have been made to the product since its last submission:

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* 36. Supportive Material 1

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* 37. Supportive Material 2

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* 38. Supportive Material 3

Submission 3 (if applicable)

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* 39. Category:

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* 40. Name of product, service, innovation, or technology:

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* 41. URL (if applicable):

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* 42. Description:

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* 43. Usage Information:

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* 44. Customer Testimonials:

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* 45. Describe why this product/service represents innovation:

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* 46. Marketing, Advertising, Promotion: describe impact and/or ROI:

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* 47. If this product was submitted before, what changes have been made to the product since its last submission:

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* 48. Supportive Material 1

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* 49. Supportive Material 2

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* 50. Supportive Material 3

Please mail any physical documents to:

Global Business Therapy, s.r.o.
Prague Stock Exchange Building
Regus-floor 1
Rybná 682/14
110 05 Prague 1, Czech Republic
Pricing 2021

Members
One submission – 150€
Additional submission – 75€
Joint submission – 150€

Non-Members
Non-Member – 500€
After you submit your application/s, the Siinda team will review them and will contact you for any clarification issues and/or provide you with an invoice. If you have any further questions regarding the process, deadlines, or other issues, please contact tereza@siinda.com or kimberli@siinda.com. 

Thank you for your submission!
Your Siinda Team

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* 51. I agree to the terms and Conditions

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