Buyer Registration Form

Buyer Registration Form 2018-05-28T17:04:01+00:00
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Buyer Registration Form
Please fill in your preferences and details (*required)

*Please select the Product(s) or Service(s) of interest

Earthmoving & Demolition
Road, Minerals & Foundation
Building Industry
Lifting, Handling & Transportation
Concrete
Other,please specify
Please list any specific requirements for the products or services you are looking for
0 /
Please list any specific brand(s) you are looking for
0 /
Name - Surname
Gender
Company Name
Job Title/Position
Telephone Number
Mobile Phone Number
Fax
Company Address
0 /
Postal Code
Company Website
1. Please briefly provide your company profile
0 /
2. What is your main area of responsibility?
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3.Type(s) of businesses you are inIf you checked the Dealer / Distributor Box, please answer question 4 and 5
Other, Please Specify
4. What brands do you distribute?
5. Who are your top clients?
6. Current Countries of Activities
7. Targeted Countries
8.What is your objective(s) of attending this exhibition?
Other, Please Specify
9. Please indicate the income/revenue per year of your company
Other, Please Specify
10. Please indicate your estimated purchasing budget (Purchasing Power)
Other, Please Specify
11.Please indicate your influence in the company’s decision-making process
12. Please check the appropriate boxes indicating your choice of accommodationHotel accommodation is exclusive only for International Buyers, with a max of 2 nights Free Accommodation: required to do a minimum of 6 business matching sessions per day
13. Please select the date(s) that you will be visiting the exhibition
14. Are you interested to attend our conference(s)? (see conferences list here)
Yes, Please specify
If you have any request or suggestions, please feel free to note it down
0 /
Details for Hotel Accommodation
If you need free hotel accommodation, please kindly select your type of room and provide us your debit/credit card details for us to secure a room for you.
Please select the room type:
Extra bed (additional cost)
Card Details
Name on Card
Card Number
Expiry Date
Your card detail will be safely provided to the hotel and not shared to any other party.

*Note: For Buyers who requested Free Accommodation, please send us your flight detail and passport detail as soon as possible.

Deadline for submission of passport and flight details is 6 August 2018.
Late submission of these documents will disqualify the buyer from receiving the Free Accommodation.

Cancellation/withdrawal from the program can be done before 6 August 2018.
Any cancellation after the date above will incur a penalty charge.

Failure in meeting the business matching requirement will incur a penalty charge.

-Buyers who requested for 1 night accommodation are required to make 12 business matchings

-Buyers who requested for 2 night accommodation are required to make 18 business matchings

(Penalty charge is dependent on number of room nights. Hotel Room Rate: 2,200 Baht/Night, Extra bed: 800 Baht)



Buyer registration is subject to initial screening by our team.

INTERMAT ASEAN & Concrete Asia 2018 reserves the right to accept or decline the registration at any time.

INTERMAT ASEAN & Concrete Asia 2018 reserves the right to change the Terms & Conditions and privileges provided.

*By submitting this form, you understand that your information will be used in accordance with the Privacy Policy.

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