Would you like to work with us?

Please fill out the following information form and contact with us in order to cooperate and evaluate different business models together.

Name *

Please enter your first name.

Surname *

Please enter your surname.

Country

Please enter the country where you are located.

City *

Please enter your city.

Address

Please provide your address if relevant to your request.

Phone *

Please enter a reachable phone number.

E-mail *

Please enter an active e-mail address.

Fax

This field is optional.

Company *

Please enter the full legal or commercial name of your company.

Cooperation Type *

Please select the most relevant cooperation type.

Your Message *

Please include relevant details about your company, product, market, proposal or cooperation request.

Personal Data Processing Notice

The personal data provided in this form may be processed, used and stored for the purpose of reviewing, evaluating and responding to your business development, cooperation, licensing, distribution, contract manufacturing or partnership request.

Personal data may be processed in accordance with the applicable legislation of Ukraine, including the Law of Ukraine “On Personal Data Protection” No. 2297-VI.

I consent to the processing of my personal data. *

I consent to the processing and lawful storage of my personal data for the purpose of reviewing and responding to my business development request. I confirm that I have read and understood the Personal Data Processing Notice.