1st POWER QUALITY ASIA CONFERENCE Conference: November 14&15, 2012 Exhibit: November 14-17, 2012 SMX Convention Center, Mall of Asia Complex, Pasay City
Registration Form Mr.
Mrs.
Ms.
Name: ___________________________________________________________________ Last
First
M.I.
Organization: _____________________________________________________________ Title: ____________________________________________________________________ Country: _________________________________________________________________ Type of Business: Contractor
Supplier
Consultant
Others (Please Specify): _______________________________
Company Name: ___________________________________________________________ Position Held: _____________________________________________________________ Contact Phone No: _________________________________________________________ Area Code
Fax No: __________________________________________________________________ Area Code
Email: ___________________________________________________________________
*Registration Fee includes convention kit (bag, technical CD, souvenir program, pen, memo pad, ID), certificate of participation, ticket to fellowship night and raffle ticket. Kindly accomplished the form and return by e-mail to apqiphilippines@gmail.com or fax to (+632) 448-5211/410-1899. For further inquiries, please call Elaine Navat/Tresha Paglinawan of APQI Secretariat at (+632) 727 3552 loc 110 or 107/966-9462/448-5211. For online payments, just visit www.apqi.ph