Closing Date : 3 August 2007
  * Mandatory
Title *
Name *
Job Title
Company *
Office Address *

Postcode *
State *
Country *
Email *
Tel * (Country code - Area code - Tel no. eg. 60312345678)
Fax (Country code - Area code - Fax no. eg. 60312345678)
Mobile (Country code - Area code - Mobile no. eg. 60121234567)
   
1. What is your main job function? (you may tick more than one)
  Venture Capitalist Academicians
  Investors Corporate Sectors with R&D / New
        Technologies & Innovative Products
  Manufacturers
  Researchers Intellectual Property Support Services
  Scientists and Technologists Non-Governmental Organisation
  Entrepreneurs / Technopreneurs Tenants of Science Parks
  Inventors Others (please specify) :
  Industrial Design
     
2. Please tick the reason for attending PECIPTA 07. (you may tick more than one)
  Establishing / sourcing new invention /
        product for investments 		Evaluate exhibition for future participation
  Gather general market / product information Browsing / Analyse alternative products
  Others (please specify) :
   
3. You found out about the exhibition from : (you may tick more than one)
  Association Magazines / Newsletters
  Buntings Posters
  Business Associate Newspaper
  Direct Mail / Invitation Others (please specify) :
  Internet
     
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