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Participation Form

My company is interested in participating in the SME Support Scheme

Name of company:

Contact person:

E-mail:

Address:

Website:

Year of foundation:

My company is an SME according to the EU definition

SME definition (according to EC Recommendation 2003/361/EC):

o  less than 250 employees;

o  annual turnover less or equal to € 50 million;

o  and /or balance sheet less or equal to € 43 million;

o  company has to be "independent".

We will exhibit at the following trade show (Support will be given only once to each company, irrespective of how many fairs the company is participating in):

AGRITECHNICA (Hannover, 10-14 November 2015)

MEDICA (Düsseldorf, 16 – 19 November 2015)

LogiMAT (Stuttgart, 8-10 March, 2016)

AUTOMATICA Service Robotics (Munich, 21-24 June, 2016)

We will be exhibiting at the respective trade show for the first time.

What products do you plan to show?

service robot service robotics component

What are (potential) application areas:

Please describe your product in more detail, add pictures if possible:

Information regarding the product maturity - please tick, what applies

already introduced to the market advanced prototype, ready for the market

How do you plan to present your product(s) at the trade show?

All SMEs receiving support will have to show a standardized sign at their booth displaying the support.

Does/Did the availability of the SME support scheme influence your decision to participate in the respective trade fair? Yes No

Would you be interested to participate in a joint booth? (This will not be applicable to all trade fairs, and is possible only if a certain number of companies participate)

Joint booth Own booth

This support scheme is supported by the EU under the RockEU CA.

For evaluation purposes, we would like you to answer the following two questions:
(answering them will not affect the selection procedure for the support scheme)

In order to make the SME support sustainable for the next years, we are considering to switch to a loan based scheme for the future.

Would you also take part in this measure if it was a loan that needs to get paid back?

yes no

Would you at a later stage (when your company is more advanced) consider giving back any other means of support to robotics start-ups?

yes no

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