Milipol

Hidden

Booking Reference Number

Hidden

Booking Reference Number

A. Exhibitor information

a1. Company details

The Company Detail will be used in our online Exhibitor Listing.
The Organizer accepts no responsibility for erroneous entries.
The exhibitor is solely responsible for the information they provide.
* Denotes mandatory fields

Company Name*

Address 1*

Address 2

City/ State*

Postal Code*

Country*

Website

Office No.*

Country Code

AREA CODE

(For countries with no area code, please leave blank)

Phone Number*

a2. billing details

Please send the invoice to the following company (if different from the above)

Tick if it is the same information as A1

Company Name*

Address 1*

Address 2

City/ State*

Postal Code*

Country*

Website

Office No.*

Country Code

AREA CODE

(For countries with no area code, please leave blank)

Phone Number*

Booking Form

A. Exhibitor information

a1. Company details

a2. billing details

b. contact information

B1. exhibition Coordination

B2. billing coordination

C. booking detail

D. total sum payable (in singapore dollar sgd)

E. PAYMENT TERMS

F. DECLARATION

Signatory: