AWARD HEALTH BENEFITS 2020

A contest that highlights
benefits for health
at home, at work, and on vacation!

Expressing interest for the Contest
Interested participants get in touch through the application form below, where they briefly outline the added value for the health of their employees (max. 1,500 characters).
Name of company or institution*
Your name*
First Last
Name of responsible person (if different from "Your name")
First Last
We are interested to participate at the contest in the following categories:*
This application does not oblige you to participate in the contest the whole year!
- Satisfaction of employees
- Preventing of exhaustion
- Reducing the costs of the disease
- Reducing the burden of sickness absence

Address*
Street Address City ZIP / Postal Code Country
E-mail*
TAX regulation*
- EU company with EU tax number
- Not EU company without EU tax number
VAT identification number (UID)*

Reason for application*
Outline the added value for the health of their employee's max. 1500 characters!
Registration data and certain other information about your entries is subject to our Privacy Policy.
Privacy Policy and Terms of participation*
Mark if you agree!
- I have read and understood the privacy policy and Terms of participation and hereby agree to it.
Declaration of Consent*
Mark if you agree!
- I hereby consent to the MD Medicon for the processing and storage of my personal data as a profile only for internal purposes until the recall. I hereby have chosen to receive only information about the Health Benefit Initiative, for all other purposes MD Medicon requires further explicit consent.