APHM2019 29-31 July 2019, 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
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 *
Preferred Booth Numbers (1st booth number - from smallest booth number), eg if you are booking 124,125,128... indicate here 124 *
Your answer
Preferred Booth Numbers (2nd booth number onwards if more than 1 booth- please check later floor plan for booth availability)
Your answer
Type of Booths *
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
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 as this is the official contract for booking of the booth. *
Required
Designation *
Your answer
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service