Kindly make use of this form for screening applications to exhibit at the Mosaïek Expo.
Please provide your first name.
Please provide your surname
Please provide a cellphone number.
Please provide an e-mail address.
Please indicate category/ies of products.
Please provide a brief description and/or list of intended products. (1200 character limit)
You are welcome to attach a photograph of some of your products. (Note the file size restriction of 900kb, and that the formats accepted are: gif, jpg, png, bmp, pdf, doc, ppt, pptx)