Product and Services form

Reserved to companies who have signed the cooperation agreement with MINERVA

•	Name:_______________________________________
 
•	Address:_____________________________________

•	Town:_______________________________________

•	Postal Code:__________________________________

•	Country:_____________________________________

•	Contact Person:________________________________

•	e-mail:_______________________________________

•	Internet:_____________________________________

•	Cathegories:__________________________________

•	Description (max 2500 characters): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________