LAOWATER

pre registration for

PRE-REGISTRATION FORM

Please complete all the required field ( * )

Name *	:

Job title *	:

Company *	:

Mailing address *	:

E-mail address *	:

Reconfirm E-mail *	:

Phone no *	:

Fax no *	:

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1. The classification which best describes your organisation is? (Please tick)

01.

Ministry / Goverment

02.

Environment / Civil Engineering / Consultants

03.

Food / Drinks / Beverages / Distillery / Brewery

04.

Palm Oil / Sugar Refining

05.

Petrochemical / Chemical / Oil and Gas

06.

Steel

07.

Pulp and Paper

08.

Sewerage Companies / Operators

09.

Town / City Councils

10.

Water Companies / Operators

11.

Hospital / Hotels / Clubs

12.

Research Institutes / Education

13.

Architects

14.

Real Estate Developers

15.

Building Contractors

16.

Auto Parts / Automotive

17.

Agriculture / Palm Oil

18.

Electronics / Semiconductor / Electric Industry

19.

Pharmaceutical / Cosmetic / Medical

20.

Agents / Distributors

21.

Others(please Specify)

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2. Which best desribes your job title? (Please tick)

01.		Owner / Chairman / Managing Director
02.		Department Head
03.		Project Engineering
04.		Contractor
05.		Plant Management
06.		Purchasing
07.		Design / Development
08.		Consultant
09.		Sales / Marketing
10.		Others (Please specify)

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3. How many employees are there in your company / department (all locations)? (Please tick)

01.

1 - 20

02.

21 - 100

03.

Over 100

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4. How did you come to know of LAOWATER 2018? (Please tick)

01.

Newspaper

02.

Magazine

03.

Main Invitation

04.

Online Newsletter

05.

Online Websites

06.

Others ( Please specify)

We will send you the Pre-registration Letter (if you qualify).

Note :

Each Pre-registration Letter is for admission of one person only.You must print a copy of the Pre-registration Letter and bring along to the Visitor Registration Counter at the entrance of the National Convention Centre, Vientiane where you will be issued a Visitor Badge.