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Step 1 of 6 - Organization Details
16%
Organization Details
Prospective Partner Organisation Name
*
Website
*
Address
*
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Name of Contact Person
*
First
Last
Title
*
Mr
Mrs
Ms
Dr
Prof
Job Title
*
Email
*
Phone
*
Other Team Members
Please add at least 2 of your Team Members who will be working with you on this project
Team Member 1
*
First
Last
Team Member 2
*
First
Last
Add another partner?
*
Yes
No
Team Member 3
First
Last
Add another partner?
Yes
No
Team Member 4
First
Last
Host Partner Information
Organisation Logo
*
Accepted file types: jpg, gif, png, pdf.
Please upload a logo of your organisations
Proposed Date of Event
*
Please note that you need to allow for at least 8 months for preparations.
Proposed Ecommerce Awards Categories
*
Financial services ecommerce website of the year Award
Travel & tourism ecommerce website of the year Award
B2C ecommerce website of the year Award
Ecommerce start-up of the year Award
Women in Ecommerce Award
Ecommerce App of the year Awards
Delivery/logistics provider of the year Award
Fintech innovation of the Year Award
Financial Inclusion Initiative of the year Award
Best online insurance service provider
Best Data Service Provider Award
Best e-Learning Platform of the year
Best Agricentric Ecommerce Business Award
Please choose the preferred ecommerce categories
Add Your own categories?
Please select option
Yes
No
Partner additional categories
*
Category 1
Category 2
Category 3
Please type your proposed additional categories.
Proposed Sponsorship Packages and Pricing
*
Please add the name of a package and proposed pricing. Use the (+) to add a new row
Estimated event attendance number
*
Event Information
Proposed Potential Sponsors
*
Please add the names of the proposed potential sponsors. Use the (+) to add a new row
Proposed Potential Exhibitors
*
Please add the names of the proposed potential Exhibitors. Use the (+) to add a new row
Proposed Potential Speakers
*
Please add the names of the proposed potential speakers. Use the (+) to add a new row
Event background information
State of Ecommerce
*
Please summarize the state of e-Commerce in your country including the challenges and the opportunities
NON-DISCLOSURE AGREEMENT
Date of Agreement
*
Name of Receiving Party
*
First
Last
Title of Receiving Party
*
Date Signed
*
Digitally Sign
*
Click here to digitally sign that you have read and agree to the Non Disclosure Agreement. Get a PDF version by clicking
HERE
Name
First
Last
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