Visitor Pre-Registration Form

Section I - Personal Details

Company Name:*
Title: Name:   Designation:  
Other Participants:            
Address:
Email:*  
City:   Pincode:   State:   Country:  

Phone:
Country Area Number
+

Fax:
Country Area Number
+

Mobile:*
Country Area Number
+

Section II - Participating Details *
Your Primary Area(s) of Interest

Water Purification Climate Change and Flood Control Consultancy and Engineering Services
Desalination Disposal and Recycling Energy and Water Service Devices
Equipment / Control Syste / Instrumentation Infrastructure Point of Use
Pumps and Process Systems Sanitation / Cleaning Sludge Handling and Treatment
Wastewater Collection / Treatment Water Distribution Water Treatment / Reuse
Water Treatment Equipments Rain Water Harvesting Water Audit
Zero liquid Discharge MBR/MBBR/SBR/SBBR Centralised Wastewater Management
Decentralised Wastewater Management Water Distrubition And Supply Membrane
Other Products and Services for the water industry, kindly state:

Purpose of Visit *

Evaluate show for future participation Gather Information Look for Agency
Source for Products Visit Exhibitors / Suppliers
Others, kindly state:  

What is your job function? *

Administration Architecture Business Development
Consultant Contracting / Procurement Engineer
Government Official Legal Management (CEO / Director / Managing Director)
Manufacturer Operation / Maintenance Policy-maker
Production Purchasing Research & Development
Regulator Sales & Marketing Urban Planner
Water Operator Others, Please specify  

What is your organisation's main activity?

Aeration and Gasification Agriculture / Aquaculture Building Construction
Building Services Chemical / Pertochemical Consultancy
Eco-Systems Education Energy
Engineering Environmental / Climate Change Food Production
Government Manufacturing Oils & Gas
Property Development Sanitation Trade Association
Trading Utility Others,Please specify

Do you make the purchasing decision in your organisation?

Yes No Recommended Only
Do you make the purchasing decision in your organisation?
< $ 100,000 $ 100,001 - $ 300,000 $ 300,001 - $ 500,000
$ 500,001 - $ 1,000,000 > $ 1,000,000  

Please indicate the Country / Regional Business Forums you will be attending:

Americas Australia China Europe
India Japan Middle East & North Africa Southeast Asia

How do you know about the event *

Associates / Colleagues eNewslettter Advertisement / Newspaper
Direct Mail Exhibitors / Suppliers Watertoday Website
Other Website(s),
kindly specify:
Trade Magazine(s),
kindly specify:
Trade Shows
Bus Back Panels Association Welcome Call
7-9 February 2012, Chennai Trade Centre