Please complete the information below.

The purpose of this application is to present your innovative technology to be showcased at the SA Innovation Summit. Submissions close on 30 July 2019.

Note: This is not a competition and no prizes will be awarded.

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* 1. Please check this box to confirm that you accept the terms and conditions of this showcase opportunity.

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. What is your company/organisation name (enter N/A if you don't have a company / organisation)

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* 5. What is your email address?

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* 6. What is your website address?

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* 7. Where are you located

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* 8. What product/service do you want to showcase?

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* 9. Is your product in the form of an App?

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* 10. Provide a detailed but concise description of the Product/Service

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* 11. What kind of setup is required?

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* 12. Motivate why you believe why this product/service should be showcased.

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* 13. Who will benefit from using or seeing this product  (what is your intended market?)

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* 14. At what stage of development is your product?

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* 15. What kind of interaction is possible with your product at the Summit?

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* 16. In which category does your product fall?

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* 17. Please upload images, screenshot or document to support your application.

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