APHM Exhibition 2021 (1-3 June 2021, 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) *
Address (line 1) *
Address (line 2)
Address (line 3)
Postcode *
City & State *
Country *
Office Tel (format 6031234567) *
Mobile Number (format 601212345678) *
Fax Number (format 6039876543)
Company website *
Contact person (please indicate title Mr/Ms etc) *
Designation *
Email of contact person (if more than 1)
If more than one contact person handling this, please provide all the necessary contact information (name, hp, email)
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 *
* 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)
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
Please indicate 3 key products categories that you will be exhibiting *
Country of origin of the products/services *
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 in 2019/2020? *
Other comments or feedback
Submitted by *
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 *
Date *
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DD
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**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.
***Copyright/PDPAct2010
Managed by EventsMastery Asia Pacific on behalf of APHM

(c) Copyright 2021. All Rights Reserved. email:info@aphmconferences.com

PDPAct2010 -http://www.eventstraining2u.com/personal-data-protection-act-2010/

Purpose of this online form is for booking of exhibition booths and information provided will be used in accordance with the purpose and to facilitate processing of the booking/exhibition logistics/and appointed contractors. Please email us of any discrepancies or changes to information provided in this form after submission.
A copy of your responses will be emailed to the address you provided.
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