Registration form (formulaire aussi disponible en Français )

Trade mission to Israel: Startup Nation

Come and meet over 1,500 entrepreneurs and 1,800 investors, all in one place!

Please fill out the form below to start your application process for this mission.
Note that you must complete one form per participant.
Registration deadline: January 23, 2023

Contact information

Chamber of commerce Membership number
Your membership number is necessary in order to benefit from the member rate
Non-member

Gender
Mr. Ms. Non-gendered

First name*

Last name*

Title (in english and french)*

Company*

Email*

Phone number*

Website

Passport number

Allergies

Company address*

Bureau - Apt - Suite

City*

State*

Postal code*

LinkedIn profile

Nationality*

Age group*
18 to 35 36 or over

Are you a new exporter?*
Yes No

Your Quebec enterprise number (NEQ)*
If you don't know it, please visit the enterprise register:
http://www.registreentreprises.gouv.qc.ca/en/a_propos/neq/default.aspx

Contact person in case of emergency

Gender
Mr. Ms. Non-gendered

First name

Last name

Phone number

Relationship

Registration fees

Please check one choice per line to validate the registration fees section

Note that all monetary amounts are in Canadian dollars (CAD).
No tax applies to the cost of foreign trade missions.

Cancellations received before the mission registration deadline will be subject to a full refund. Cancellations received after that date will not be reimbursed. Please note that only cancellation notices sent via email to the contact will be accepted.

Participants directory

The Participant Directory is bilingual (French and English).
Please fill the page below in both languages.

Décrivez votre entreprise (150 mots et moins) (anglais et français) :

Identifiez le secteur d’activité primaire et sous-secteur de votre entreprise (une ligne maximum) :

Describe your company’s business (150 words or less):

Identify the primary activity sector and sub-sector of your business (one line maximum):

Company profile

The information collected in this profile is for our partners.

What type of organization do you represent?*

Large company

SME

Start-up

NPO

Government

Academia

Other: (please specify)

Are you an independent business or a subsidiary?

Independent business:
Yes No

Subsidiary:
Yes No

What are your goals for this trade mission?

Provide information on the services or products you want to sell in this market. What significant features and competitive advantage do your products or services have?

Do you currently export/sell to this market?
Yes No

If yes, can you give us the names of projects and cities you are presently working on?
Names of projects and cities:

Who would you like to meet? (Specific company names or categories and contact levels)

Will you organize other meetings on your own?
Yes No

If yes, which companies will you meet?

Is your company established in this market?
Yes No

If yes, could you provide the location of your branch(es)?

In terms of number of employees, how large is your organization?

In terms of annual revenue, how large is your organization?

Less than $500,000
$500,000 to $5 million
$5 million to $25 million

$25 million to $50 million
Over $50 million
Not applicable

What percentage of your organization's activities is related to exporting?

Is your solution protected by intellectual property rights?
Yes No

If so, by what means?

Patent

Trademark

Industrial design registration

Trade secret protection

Types of funding raised (confirmed) since the beginning of your operations:

Love money

Crowdfunding

Grants / awards

Bank loan

Equity

Venture capital

Angel investors

None

N/A

Amount of funding raised (confirmed) since the beginning of your operations:

Less than $150,000

$151,000 to $250,000

$251,000 to $500,000

$500,000 to $1 million

$1 million to $2 million

$2 million to $5 million

Over $5 million

None

N/A

What export potential does your organization represent?*

SME (under 500 employees) that currently exports or has export potential

Large company (500 employees or more) that currently exports or has export potential

Other SME or large company that does not export and does not have the potential to export

Other public or para-public organization

Do you presently export outside of Canada?*

Yes. My company has been making sales for under a year or is in the process of developing its sales (new exporter)

Yes. My company has been making sales for over a year

Don't know / does not apply

Describe your company’s foreign trade activities (select all that apply):*

It has been selling goods or services to other provinces for less than a year

It has been selling goods or services to other provinces for more than a year

It has been selling goods or services outside of Canada for less than a year

It has been selling goods or services outside of Canada for more than a year

It plans to sell goods or services outside of Canada within two years

It is interested in selling goods or services outside of Canada, but does not have a fixed timeline

It does not sell goods or services

Would you say that your company is owned (i.e. at least 51% of your company is owned, operated or controlled on a daily basis) by someone from the following groups (select all that apply):*

Women

Indigenous / Aboriginal

Visible minorities

First-generation Canadians (people born outside Canada)

Newcomers to Canada (have been in Canada less than 5 years)

Young people (under 40 years of age)

Members of official language minority communities (Anglophones)

Disabled people (limitation of activity due to a long-term physical problem, mental state or health problem)

None of the above

Prefer not to answer

Does your company market a clean- tech innovation or technology?*

Yes, an innovation

Yes, a clean technology

Yes, both

[+] Limits of liability

I declare that the information in this application is complete and accurate.

I have read and accept the terms and conditions.