Name:
Mr.
Ms.
Mrs.
•
Designation:
Company:
•
Address:
Country:
Malaysia
Singapore
United States
Canada
Germany
France
United Kingdom
Taiwan
Others
------------------------
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (DRC)
Congo (RC)
Costa Rica
Cote d `Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia (FYROM)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts & Nevis
Saint Lucia
Saint Vincent & Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone:
•
Fax:
Mobile Phone:
Email:
•
Website:
For Foreign Visitors
Passport No:
for foreign visitors
Flight No:
for
foreign visitors
Citizenship:
for
foreign visitors
Hotel:
A. Please select your primary
job function:
01. Corporate Management - Chairman / Director / Owner / Managing Director / General Manager
02. Production / Operations
03. Purchasing / Specifying / Sourcing
04. Design / R & D
05. Maintenance / Factory Management
06. Quality Control / Assurance / Testing and Inspection
07. Media / Editor / Journalist
08. Sales and Marketing
09. Government Official
10. Academia / Lecturer / Trainer
Others:
B. Please select your company's main activity:
01. Aerospace Manufacturing
02. Automotive Manufacturing
03. Bio-medical Products & Equipment Manufacturing
04. Building and Construction
05. Defence
06. Electronics and Electrical Manufacturing
07. Machinery and Equipment Manufacturing
08. Machining Services
09. Marine / Shipbuilding & Repair
10. Metal Parts and Components Manufacturing
11. Mould and Die Manufacturing / Tooling
12. Oil and Gas / Chemical Processing
13. Organiser, Exhibition / Convention
14. Plastic and Rubber Products Manufacturing
15. Semiconductor and Precision Engineering
16. Trade Associations / Government Agency
17. Trading / Agent / Distributor
18. Training Institutions / Academia
Others:
C1. Please select the products you are interested in:
(as many as apply)
01. Turning Centers & Lathes
02. Machining Centers
03. Milling, Drilling or Boring Machines
04. Grinding & Finishing Machinery
05. Saws & Saw Blades
06. Forming & Fabricating Machinery (Stamping, Bending, Shearing)
07. Wire Forming & Coil
Processing Equipment
08. Industrial Lasers, Laser Systems/Machine
& Waterjet Cutting Systems/Machine
09. Flame or Plasma Cutting Equipment
10. Welding & Joining
Equipments
11. EDM & Wire-Cut Machine
12. Measuring, Testing & Control, Quality Assurance
13. Design Software, CAD/CAM/CAE, Rapid Prototyping
14. Machine Tool Accessories, Components, Attachments
15. Tools & Tooling
16. Abrasives
17. Coolants / Lubricants
18. Jewellery Making Machines
19. Manufacturing Automation / Machinery & Equipments
20. Materials Handling / Storage / Warehousing
21. Process Automation Systems
22. Robots & Vision Automation
23. Power Transmission, Pneumatics, Hydraulics & Fluid Control Technology
24. Others:
C2. Please select the Contract manufacturing & subcontracting services you are interested in:
* as many as apply
D. Please select your main purpose for attending this event:
E. How did you know about the show?
F. Did you travel by Malaysian
Airlines?:
Yes
No
G. The information you provided may be made available to third parties whose products and services may interest you. Do you wish to be included in such marketing activities?
Yes
No
Please answer the question below before submitting this form, just to make sure that you are human, :-)
What is total of 1 + 4?
Please
print the confirmation email and bring it along to present it
during MetalTech event.