REGISTRATION – LA MATCH DUX 2019

  • COMPANY IDENTIFICATION

  • * The registered name can be used for publication. If your company becomes a winner, the public name WILL be used in a press release or in a DUX advertising campaign. Thank you for validating the name with your marketing or communications department.
  • Enter an amount only if this information is available
  • FIRST PERSON RESOURCE

  • SECOND PERSON RESOURCE

  • DECLARATION OF LIABILITY DISCLAIMER

    I declare on my own behalf and on behalf of the Applicant Company, being duly authorized, that I release DUX, EDIKOM and all its partners, sponsors and other persons directly or indirectly related personally or as part of their activities, the members of the jury as well as all other organizations and persons involved in the organization and holding of this event of any responsibility for the damages that I might suffer as a result of the decisions taken or the use made of the documents that I transmitted.
  • The declaration of release of responsibility is obligatory to enter the contest. The entry of your first and last name indicates that you agree with the declaration and replaces your signature.
  • AUTHORIZATION OF ADVERTISING DISTRIBUTION

    I authorize EDIKOM to use the supplied material (name, logo, photos, etc.) in a multiplatform advertising campaign if the company's project is awarded. I also authorize EDIKOM to use the material provided (name, logo, photos, etc.) in its publications and products, as a promotional tool for the contest or for a journalistic report
  • * The authorization of diffusion is obligatory to enter the contest. The entry of your first and last name indicates that you agree with the declaration and replace your signature.
    I authorize EDIKOM to transmit if I am a laureate, my name, address and / or telephone number, when EDIKOM considers the application as relevant, to anyone who wishes to communicate with me about the company's project. *
  • Format de date :MM slash JJ slash AAAA
  • PRODUCT IDENTIFICATION

  • Format de date :MM slash JJ slash AAAA
  • Cost

  • IMPROVING THE FOOD OFFER

  • FUNDING

  • CHALLENGES

  • HYPERLINKS

  • Types de fichiers acceptés : ie, jpg, gif, png, pdf.
    Insert your logo and any document / image that shows your product. You can also include the media visibility, if, you have any.
  • Types de fichiers acceptés : ie, jpg, gif, png, pdf.
    Insert your logo and any document / image that shows your product. You can also include the media visibility, if, you have any.
  • Types de fichiers acceptés : ie, jpg, gif, png, pdf.
    Insert your logo and any document / image that shows your product. You can also include the media visibility, if, you have any.
  • Types de fichiers acceptés : ie, jpg, gif, png, pdf.
    Insert your logo and any document / image that shows your product. You can also include the media visibility, if, you have any.
  • Types de fichiers acceptés : ie, jpg, gif, png, pdf.
    Insert your logo and any document / image that shows your product. You can also include the media visibility, if, you have any.
  • Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.
CarolineRegistration – Le MATCH DUX 2019