Malbex 2008 - Exhibitors Registration Form

To Participate

1. Contact Details

Company Name:

Address:

Postal/Zip Code:

Country:

City/State:

Contact Person:

(First Name)

(Middle Name)

(Last Name)

Job Title:

Telephone / Mobile :

Country Code : Phone Number : A value is required.

Fax:

Country Code : Fax Number : A value is required.

Email:

2. Booth Requirement (Please Tick One Only)

Minimum number of selections not met.

(I) Raw Space (Space only)				(II) Shell Scheme Package
Cost: RM 795 per sqm (minimum space of 24 sqm)				Cost: RM 905 per sqm (minimum space of 12 sqm)
Area: Sqm				Area: Sqm

3. Product Type / Products to be exhibit: Please tick whichever that is applicable.

Minimum number of selections not met.

4. List of Distributors/Principals

Company Name of Distributors / Principals

Country of Origin

Product Type

Product Profile

Product Search

Maximise your
participation @ Malbex 2008