EVOLEN Innovation Award Form

Summary of the application in English

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* 1. The company presents to the Evolen Innovation Award a product / service described here :

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* 2. The innovation is described in the following :

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* 3. (A presentation -pdf-, in English will be attached to this document and send by email to: a.delbos@evolen.org )

Targeted market

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* 4. Competition in this market (main competitors, etc…) :

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* 5. Je déclare avoir pris connaissance des modalités susmentionnées.

Oui

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* 6. Date

Date/Heure

Date

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* 7. Nom et Prénom

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* 8. Société

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* 9. Email