Name


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
How many times have you visited the exhibition ?
1
2
3
4
Yes. I would like to attend the conference / seminar. 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

Which department are you working for ?
HR / Finance / Administration
Board of director/ Management
Training Center
Sales / Marketing
Plant / Factory
Trading / Purchasing
Project / Planning
QAQC
R&D
Other

Do you have purchasing authority ?
No purchasing involvement | Authority | Recommender / Influencer
Size of business ?
1-50 persons 51-100 persons 101-200 persons
Purpose of visit ?
Place order
Look for new alternative suppliers
Look for the partners
Obtain technical information
Extend my networks
Evaluate show for future participation
Others
How did you know about the exhibition ?
Direct mail invitation from show organizer
E- marketing invitation from show organizer
Exhibitor invitation
Visited show website
Friends/ Colleagues recommendation
Government
Trade associations
Magazines/ Newspaper
TV/ Radio spot
Billboard/ Banner, Poster
Social media
Other