APQI Regitration Form

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APQI Regitration Form

Transcript of APQI Regitration Form

Page 1: APQI Regitration Form
Page 2: APQI Regitration Form

Mr. Mrs. Ms.

Name: ___________________________________________________________________

Last First M.I.

Organization: _____________________________________________________________

Title: ____________________________________________________________________

Country: _________________________________________________________________

Type of Business:

Contractor Supplier Consultant Others (Please Specify): _______________________________

Company Name: ___________________________________________________________

Position Held: _____________________________________________________________

Contact Phone No: _________________________________________________________

Area Code

Fax No: __________________________________________________________________

Area Code

Email: ___________________________________________________________________

Registration Form

1st POWER QUALITY ASIA CONFERENCE

SMX Convention Center, Mall of Asia Complex, Pasay City

*Registration Fee includes convention kit (bag, technical CD, souvenir program, pen, memo pad, ID),certificate of participation, ticket to fellowship night and raffle ticket.

Kindly accomplished the form and return by e-mail to [email protected] fax to (+632) 448-5211/410-1899.

For further inquiries, please call Elaine Navat/Tresha Paglinawan of APQI Secretariat at(+632) 727 3552 loc 110 or 107/966-9462/448-5211.

For online payments, just visit www.apqi.ph

Conference: November 14&15, 2012 Exhibit: November 14-17, 2012

mailto:[email protected]
Page 3: APQI Regitration Form

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