Pre-Registration Form
Deadline :
7 JULY 2009
*
Mandatory
Title :
*
- -
Mr
Mrs
Ms
Dr.
Ir.
Name :
*
Job Title / Designation :
*
Company :
*
Address 1:
*
Address 2:
Address 3:
State :
*
Country :
*
SELECT ONE
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austriam
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan ROC
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Virgin Islands (British)
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Postcode :
*
Tel :
*
-
-
(Country Code - Area Code - Telephone Number)
Fax :
*
-
-
(Country Code - Area Code - Fax Number)
Mobile :
-
(Country Code - Mobile Number)
Email :
*
A. Please tick your main job function (tick ONE only):
01
Administrator
02
Architect
03
Consultant
04
Contractor/ Sub-Contractor
05
Developer
06
Education/ Training
07
Government Official
08
Interior Designer/ Lighting Designer
09
Managing Director/ General Manager/ Partner/ Owner
10
Manufacturer/ OEM Manufacturer
11
Marketing/ Sales Manager
12
Press
13
Production/ Quality Control Manager
14
Purchasing/ Purchasing Manager
15
Research & Development
16
Safety/ Environment Management
17
Sales & Marketing
18
Technical Management/ Plant Manager/ Engineer
19
Others
Please specify:
B. What are your main product interests? (tick ALL your interests)
01
Air-Conditioning Systems
02
Application System Providers
03
Assays, Test, Kits & Procedures
04
Automated Guided Vehicles
05
Automated Storage/ Retrieval Systems
06
Automation Consultancies
07
Automation Technology for Factory & Warehouse Automation
08
Building Automation & Services Equipment
09
Bus Systems
10
Cables & Cable Systems
11
Chains
12
Chemical Process Technology
13
Computer Aided Design (CAD)/ Computer Aided
Manufacturing (CAM)/ Computer Aided Engineering (CAE)
14
Computerised Maintenance Management Systems
15
Connectors
16
Control Systems & Solutions
17
Controllers & Monitoring Systems
18
Conveyors
19
Data Communications & Information Technology
20
Data Management Systems & Documentation
21
Diagnostic Systems
22
Distribution & Transmission Equipment
23
Drives & Gears
24
Drives & Motors
25
Electrical & Eletronics Equipment Accessories
26
Electrical Services & Equipment
27
Energy Conservation Equipment
28
Enterprise Asset Management
29
Enterprise Production Management Systems
30
Enterprise Resource Planning (ERP)
31
Environment & Water Management
32
Environment/ Pollution Management
33
Filters
34
Filtration & Separation Systems
35
Final Control Elements
36
Heat Transfer Technology
37
Hydraulic & Fluid Control Equipment
38
Identification & Barcode Systems
39
Industrial Systems Network
40
Installation Equipment
41
Instrumental Analysis Technology
42
Intelligent Building Technology
43
Jigs & Fixtures
44
Laboratory Automation Technology
45
Life Sciences Oriented Solutions
46
Lighting Control Equipment & Systems
47
LIMS
48
Manufacturing Execution Systems
49
Materials Handling Systems (including components such as Bearings, Clamps & Vices)
50
Optical, Image Analysis Technology
51
Photonics
52
Plant Asset Management
53
Pneumatics
54
Process & Control
55
Process Plant Design Services
56
Process Simulation & Optimisation Technology
57
Programmable Logic Controllers
58
Quality Assurance & Test Systems
59
Renewable Energy
60
Resistors & Sensors
61
Robotics
62
Safety & Hygiene Systems
63
Safety, Protection & Emergency Equipment
64
Safety Systems
65
Scada Systems
66
Sensors & Measurement Systems
67
Supply Chain Management
68
Supply Chain Management Solution
69
Switch/ Switchboards/ Switchgears Equipment
70
Test & Measurement Technology
71
Vision & Recognition Systems
72
Wires & Ducting Systems
73
Others
Please specify:
C. What is your organisation's nature of business? (tick ONE only)
01
Agent/ Distributor/ Wholesale/ Retail
02
Air-Conditioning
03
Airports & Seaports
04
Architectural Practise/ Surveying
05
Automotive Engineering
06
Automotive Manufacturing/ Assembling
07
Building & Construction
08
Chemical/ Petroleum/ Coal/ Rubber & Plastic Products
09
Clubs/ Hotels/ Restaurants
10
Construction/ Environmental Engineering/ Civil Engineering
11
Consultancy
Please specify:
12
Contract & Subcontracting Manufacturing
13
Design & Engineering Consultant Services
14
Electrical & Electronics
15
Electrical Power Generation & Distribution
16
Electronics & Semiconductors
17
Fabricated Metal Products & Machinery Equipment
18
Finance/ Project Management
19
FMCG
20
Food/ Beverage & Tobacco
21
Furniture
22
Government Ministries/ Department
23
Hospitals/ Health Care Centres
24
Independent Power Producer (IPP)
25
Lighting Consultants/ Lighting Design
26
M&E Consultants
27
Maintenance Workshop/ Repair Services
28
Materials Handling/ Logistics
29
Metallurgy
30
Mining
31
Oil & Gas
32
Paper/ Publishing
33
Pharmaceutical
34
Precision Equipment/ Tools/ Dies/ Moulds
35
Printing & Packaging
36
Process Engineering
37
Property Management/ Development
38
Public Works
39
Reseach & Development
40
Rubber & Plastics
41
System Integrators
42
Telecommunications/ ICT
43
Textile & Apparels
44
Trade Associations/ Government Agencies & Public Works
45
Transmission & Distribution
46
Utilities
47
Vocational & Technical Training
48
Warehousing & Transport
49
Others
Please specify:
D. Please tick your main purpose in attending this show (one only).
01
To Purchase Products
02
To Recommend Purchase of Products
03
To Source For The Latest Market, Information
04
To Specify Products
05
To Update on Technology
06
To Evaluate Participation At A Future Show
07
Manage Other People Who Deal With Buying, Ordering or Specifying
08
Others
Please specify:
E. How did you find out about AE & IA 2009?
01
Newspaper [please indicate below, which one]
02
Berita Harian
03
Business Times
04
Utusan Malaysia
05
New Straits Times
06
Sin Chew Daily
07
Nanyang Siang Pau
08
China Press
09
The Star
10
Direct Maill Invitation
11
From An Exhibitor
12
From The Organiser
13
Posters
14
Buntings
15
Magazines (please indicate below, which one)
16
ACEM Directory
17
All Products Online
18
Asia Pacific Coating Journal
19
Asian Power
20
Automation Guide 2008/09
21
Building & Investment
22
Chinamac Journal
23
Control Engineering Asia
24
CommsWorld
25
E & C Magazine
26
Fire & Security Today
27
Fuel & Lubes International
28
IEEMA Journal
29
Industrial Automation Annual Directory
30
Industrial Automation
31
Industrial Automation Asia
32
Industrial Automation India
33
Industrial Automation Magazine
34
Industrial Automation News
35
Industrial Reporter
36
Indonesian Industrial Automation Directory
37
InfoPages Directory
38
InfoToday Directory
39
International Metalworking News for Asia
40
Jurutera Magazine
41
Lighting Today
42
Machinery World
43
Malaysian Builders Directory
44
Malaysian Electronics Electrical and Supporting Industries Directory
45
Power Engineering
46
Powersource
47
Southeast Asia Building
48
Suara TEEAM
49
Super Pages Directory
50
Technic Magazine
51
Tenaga Link
52
Others
Please specify:
53
Show Website
F. Which airline will you use to travel to attend AE & IA 2009?
01
Malaysia Airlines
02
Others
Please specify:
G. Which Hotel will you stay at during your visit to AE & IA 2009?
