Salutation*:
First Name*: Last Name*:
Job Title*:
Company*:
Address*:
Postcode*: Country*:
Office Tel*: Fax:
Email*: Mobile:
 

1. What Is Your Organisation’s Primary Activity?

, Please specify

2. Which Best Describe Your Job Title?

, Please specify

3. What Purchasing Responsibility Do You Have?

4. Annual Budget Responsibility?

5. How many employees are there in your company / department (all location) ?

6. Purpose of Visit?

7. What Products Are You Interested In?

, Please specify

8. How Did You Hear About Us?

, Please specify
UBM (M) SDN BHD
A-8-1, Level 8, Hampshire Place Office
157 Hampshire, 1 Jalan Mayang Sari
50450 Kuala Lumpur, Malaysia
Email: ecobuild-sea@ubm.com