APHM2020 2-4 June 2020, KL Convention Centre - Exhibitors Bookings
Online Booking Form for Exhibition Booths & Sponsorship - please complete and press submit when completed- Do print a copy for your own reference. Any enquiries please email info@aphmconferences.com.

NOTE this booking form is actual contract for the rent of the Exhibition Booths and the t&c will apply upon submission of this online booking form. For enquiries, DO not submit this form - you can email us instead at info@aphmconferences.com
Email address *
Category *
Required
Company Name (in full for invoicing purpose) *
Your answer
Address (line 1) *
Your answer
Address (line 2)
Your answer
Address (line 3)
Your answer
Postcode *
Your answer
City & State *
Your answer
Country *
Your answer
Office Tel (format 6031234567) *
Your answer
Mobile Number (format 601212345678) *
Your answer
Fax Number (format 6039876543)
Your answer
Company website *
Your answer
Contact person (please indicate title Mr/Ms etc) *
Your answer
Designation *
Your answer
Email of contact person (if more than 1)
Your answer
If more than one contact person handling this, please provide all the necessary contact information (name, hp, email)
Your answer
Number of booths required. To select your preferred booth location, please refer to aphmfloorplan.aphmconferences.com *
Preferred Booth Number (1st booth number - from smallest booth number), eg if you are booking 124,125,128... indicate here 124 *
Your answer
* only for those booking more than 1 booth - Please indicate your Preferred Booth Numbers (2nd booth number onwards if more than 1 booth- please check latest floor plan for booth availability)
Your answer
Type of Booths *
Required
IMPORTANT NOTICE TO FOREIGN EXHIBITORS BY THE MEDICAL DEVICE AUTHORITY ("MDA") of Malaysia - Applicable to all medical devices that are not registered in Malaysia; it is a legal requirement to submit a notification on the medical device(s) to MDA to seek clearance for demonstration at the exhibition. Please ensure that you comply with this legal requirement by MDA. Kindly indicate your preference below: - *
Required
Name of Exhibitor Company to appear on Fascia Board of the Booth (not more than 30 letters) for Shell Scheme ONLY
Your answer
Please indicate 3 key products categories that you will be exhibiting *
Your answer
Country of origin of the products/services *
Your answer
Is your company a member of APHM *
Are you keen on paid marketing/promotion activities for more leads? If yes, we will update . you accordingly. You can also give us your ideas/suggestions in the comment field below. *
Did your company participate last year? *
Other comments or feedback
Your answer
Submitted by *
Your answer
By submitting this form, you agree and confirm to this booking and the terms as listed in the Event Brochure for Exhibitors & Sponsors. This form serves as the official contract for booking of the Exhibition Booths. *
Required
Reservation of the preferred Booth number is on first-come-first-serve basis with final approval by the organiser. To secure and confirm the booking, please pay a deposit of RM5,000/US$1000 within 2 weeks after you receive the invoice. Please note cancellation charges apply as per the terms in the Event Brochure. *
Required
Designation *
Your answer
Date *
MM
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DD
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YYYY
**MDA info
You can refer to their website https://www.mda.gov.my/mdb/ for more info or to contact them at demo.edu@mda.gov.my or call 603-82300339/332/335.
A copy of your responses will be emailed to the address you provided.
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