Visitor Pre-Registration

Please fill in English
* Mandatory Field

Personal Particulars

Name	*
Position / Job Title	*
Organisation / Institution	*
Address	*


City
State
Postal Code
Country	*
Telephone	(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. 61212345678) *
Email	*

Questionnaire

Your patience is much appreciated in filling this short questionnaire

Q1.	Please indicate your age group


Q2.	Your main job function
		Chairman/ Director/ Owner/ Partner	Marketing/ Sales
		General Management	Procurement
		Engineer	Education and Training
		Technical Operation	Consultant
		Research and Development	Government Official
		Others, please specify

Q3.	Your main area of interest (You may tick more than 1)
		Beauty and Personal Care	Food and Beverages
		Herbs and Medicinal Products	Non-Food
		Vitamin/ Supplement Products	Media/ Literature
		Organic	Others, please specify

Q4.	Purpose of visit (You may tick more than 1)
		Attend the Conference/Seminar	To maintain existing business contacts
		To keep up-to-date	To make purchase
		To find out more about products/ services	To evaluate show for future participation
		To gain general impression of participation market trend	To prepare purchasing decision
		To initiate new business contacts	Others, please specify

Q5.	How do you know about WHAT Medicine?
		Invitation	University
		Newspaper	Associates / Colleagues
		Direct Mail	Others, please specify
		Magazine / Journal

Q6.	Would you like to receive future updates about our exhibitions?
		Yes
		No
	If yes, what is your preferred mode of receiving?
		Email
		Fax
		Snail Mail (Post)

Q7.	Your Company's primary function (You may tick more than 1)
		Traditional medicine/ Herbal Products	Trade & Retailers
		Health Products	Scientific/ Medical/ Diagnostic/ Packing/ Agro, Equipment & Machinery
		Beauty & personal Care	Equipment & Machinery Suppliers
		Complementary Medicine	Researchers & Education Institutions
		Spas, Healthy Life Style & Living	Investors/ Policy Makers
		Organic Food Suppliers	Relevant Government Agencies
		Marketing & Direct-Selling Companies	Raw Material Growers
		Drug Stores/ Pharmacies	Raw & Semi-Finished Material Supplier
		Others, please specify

Q8.	Your role in purchasing
		Final Decision	Evaluate/ Test
		Significant Influence	None of the above
		Recommend

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