Name
Job Title
Company / Institution
Address
City
Country
Postal Code / Zip Code
 
Tel

(Format : country code + local code + phone number)
+6221-42900030 (Jakarta)
Fax

(Format : country code + local code + phone number)
+6221-42900030 (Jakarta)
Mobile

(Format : country code + local code + phone number)
+6285694444242
Email
Yes ! i would like to attend the conference. Please send me more details. | No. I'm only interested in visiting the exhibition.
What is your company's main activity ?
Job function ?
Owner / Chairman
Vice Chairman / Vice Director
Consultant
Manager
Supervisor
Engineering
Laboratories / Researcher
Sales / Marketing
Purchaser
Other
What is Your Main Purpose in Visiting This Exhibition ?
Finalising Purchasing Decisions
Sourcing for Products/Services
Keeping Update With The Industry
Seeking Strategic Business Partnerships
Sourcing for Distributors
Evaluating The Show for Future Participation
Others
Do You Make Any Purchasing Decisions ?
Yes | No | Recommend Only
How Many Employees Are There in Your Company ?
1-20 | 21-100 | Over 100
How Did You Find About This Exhibition?
Newspaper
Invitation
Internet
Magazine
TV/Radio
Friends/Colleagues/Business Associates
Other