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Application Form

We/I wish to apply for the award category below. (Please tick the category you wish to apply for and use the separate form for each one)

Award Category□ Most Honored Medical Institution of the Year □ Medical Cosmetology Innovation Award

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□ Advanced Medical Plastic Surgery Appliances and Equipment Provider

□ Advanced Medical Plastic Surgery Materials Provider

□ Advanced Laser Beauty Equipment Provider

□ Advanced Medical Cosmetology Technology Provider

□ Advanced Medical Cosmetology Equipment Provider

□ Most Recognized Medical Cosmetology Consulting Firm

Please type inside the boxes below, ensuring you answer each question and keep to the word count limit where specified.

Once you have completed your entry, please return it by email to amcc@cdmc.org.cn along with your company logo (and client logo if applicable) and any supporting material before 22nd of April, 2014

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Please note that any entries or payments received after the entry deadline will NOT be considered. Submission of your entry indicates that you have read and understood the terms and conditions.

The details you provide below will be used in all awards communication so please take care to ensure they’re correct.

Your C ontact D etails

Name

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Job titleOrganization/CompanyEmailTelephoneSecondary TelephoneAddress

Entrant D etails

Company Name

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Company Introduction

Client (if applicable)Project / CampaignRemarks

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Application FormAsia Medical Cosmetology Congress 2014 places you in the SPOTLIGHT, by organizing Awards Ceremony on May 22nd, to recognize and reward the excellence and outstanding achievements of individuals and businesses and to provide a qualified benchmark for individuals, teams, companies and partner in the medical industry. This category will be evaluated by:

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Innovative Service and Practice Proven Record of Successful Case Other Certification or Awards as a plus Recommendation by Respective Industry Client

Synopsis of business related outcomes (Maximum 200 words)In this section please state clearly how the individual/company perform in the past year

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Full entry description (Maximum 500 words)Please use the space below to provide full details of your entry.

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Testimonials and feedback (Optional)You may use the space below to include feedback in support of your entry.

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Please return your completed entry to amcc@cdmc.org.cn

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