Fields marked (*) are mandatory.
 
  *Salutation:
  *First Name:
  *Family Name:
  *Job title:
  *Company Name:
  *Nature of business:
  *Company Address Line 1:
    Company Address Line 2:
    State:
  *City:
  *Postal / Zip code:
  *Country:
  *Tel: - -
Country Code  -  Area Code  -  Number
    Fax : - -
Country Code  -  Area Code  -  Number
  *Email:
    Website:
     
  Please answer the following questions
 
1. What is your job function?
01 Corporate/ general management 02 Engineer/technician
03 Plant manager 04 Procurement/safety/maintenance
05 Production management/Supervision 06 Research and development
07 Sales and marketing 08 Others, please specify
         
 
 
2. What is your role in purchasing?
01 Authorise 02 Evaluate
03 Gather Information 04 Influence/ Recommend
05 Specify 06 Not applicable
 
 
3. What is the main business sector of your company?
01 Building & construction 02 Chemical
03 Consulting services 04 Engineering services
05 Oil & gas 06 Petrochemical
07 Pharmaceutical 08 Refining
09 Specialty chemical 10 Trade association
11 Others, please specify      
         
 
 
4. What are your products of interest?
      Products and Materials
01 Actuators 02 Anti corrosion materials
03 Cooling Towers 04 Electric Drives
05 Fans 06 Field devices & components
07 Filter 08 Heat Exchangers
09 Industrial centrifuges 10 Industrial explosion proof products
11 Measuring Instruments 12 Motors
13 Packaging materials 14 Pipes
15 Pipe fittings 16 Plant accessories
17 Pressure relief devices 18 Pumps
19 Seals 20 Sensors
21 Separators 22 Turbines
23 Valves      
 
 
     Systems & Equipment
01 Automation systems 02 Chemical handling equipment
03 Chemical transport equipment 04 Chemical storage equipment
05 Cleaning equipment 06 Energy storage system
07 Environmental control system 08 Field bus technology
09 Filtration equipment 10 Flow control system
11 Heat transfer systems 12 Industrial networks
13 Mixing & dispensing systems 14 Packaging equipment
15 Plant construction equipment 16 Pollution management system
17 Process control & management systems & software 18 Safety equipment
19 Separation equipment 20 Testing equipment
21 Turnkey plants 22 Welding equipment
 
 
     Services
01 Consultancy 02 Education
03 Infrastructure development 04 Plant contracting
05 Plant design 06 Plant engineering
07 Plant maintenance 08 Retrofitting
 
 

5. What is the purpose of your visit?

01 Evaluate show for future participation 02 Gather market information
03 Keep abreast with industry development 04 Meet existing contacts
05 Make new contacts 06 Recommend/source for new product & services
07 Others, please specify:      
         
 
 

6.How did you find out about ProcessCEM Asia 2010?
01 Colleagues/business contacts 02 Direct mail
03 E-news 04 Exhibitors
05 ProcessCEM Asia website 06 Trade association
07 Trade magazines, please specify: 08 Others, please specify: