Booth Registration Form.docx

ICCTAR 2019 Website: www.icctar.com Email: [email protected]

BOOTH REGISTRATION FORM Name of Company Type of Company

Publisher  Others

 * (state) : __________________

Address Email Address Tel. No. Mobile No. Number of booths:

__________________ X RM 1500 = RM __________________

Booth Assistants Payment By : Money Order / Cheque No. Amount Important notes: 1. Please ensure that the cheque is made in the name of UPM Holdings Sdn Bhd 2. Mail cheque with this booth registration form to: The Chair, ICCTAR UPM Holdings Sdn Bhd Block F2, UPM-MTDC Technology Centre, 43400 UPM Serdang, Selangor Darul Ehsan, Malaysia 3. Or send proof of payment and this booth registration form to [email protected] 4. For further information please call or WhatsApp +60-17 361 4970 * Please note that the cost per booth is RM1500 for the 3 day conference 26-28 June, 2019. Only tables are provided. The size of the table is approximately 9’ X 4’.