Visitor Registration Form
Contact Detail
Title:
Please Select
Mr
Miss
Mrs
Dr
Other
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First Name:
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Last Name / Surname:
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Company:
*
Designation:
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Telephone:
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Mobile:
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Fax:
Email:
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Website:
Address 1:
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Address 2:
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City:
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State:
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Postcode:
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Country:
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Very Important:
Please include your email address and mobile number so that we can keep you updated on a regular basis about
CosmoBeaute Indonesia 2008
.
A. Profession (Tick ONE only)
*
Please Select
Beautician
Dermatologist
Dietician
Employee
Herbalist
Make-up Artist
Masseur
Nail Technician
Owner / Director / Manager
Packaging Development & Designing
Procurement
R&D
Sales & Marketing
Student
Beauty Consultant
Hairdresser
Others
B. Nature of company's main activity (You may tick MORE than one) *
1
Aromatherapy Salon / Spa
2
Association of Beauty Industry
3
Beauty Salon
4
Beauty School
5
Contract Manufacturer
6
Distributor / Sole Agent / Wholesaler
7
Drug Store / Pharmarcy / Medical Shop
8
Fitness Club
9
Health Food Shop / Herbal Shop
10
Make-up Studio / Bridal Studio
11
Hair Salon
12
Manufacturer
13
Nail Salon
14
Natural Health Therapies Centre
15
Perfumery & Cosmetics Shop
16
Slimming Centre
17
Other (Please specify)
C. Please indicate the intended purpose of your visit. (You may tick MORE than one) *
1
To Purchase
2
Gather Information
3
Seek Representation
4
Attend Conference
5
Visit Suppliers
6
Evaluate for the future participation
7
Other (Please specify)
D. Are you looking to source a specific product and / or services at CosmoBeaute Indonesia 2008? If so, please give full details, including your preferred brand / supplier.
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E. Are you interested to visit? If yes, please tick:
1
CosmoBeaute Vietnam 2009
2
CosmoBeaute Asia 2009
F. How did you find out about this event? (You may tick MORE than one) *
1
Invitation from exhibitors
2
Invitation from the organiser
3
Newspaper
4
Trade Publications (Please specify)
5
Internet
6
Business Associate
7
Government Agencies
8
Trade Association
9
Street Signage
*
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