Personal Information
Title*  
First Name*  
Last Name*  
Job Title*  
Company*  
Address1*  
Address2  
City*  
State  
Country*  
Zip Code / Postal Code  
Tel No.*  
Fax  
Mobile  
Email*  
Confirm Email*  
     
A. Please tell us how you heard about InformexINDIA 2011? *
     
B. In what capacity are you attending InformexINDIA 2011? *
Buyer    
Seller    
Both    
Other   (Please Specify) 
 
C. What type of business/industry are you in? * (check all that apply)
Specialty & Fine Chemicals Pharmaceutical
Biopharmaceutical / Biotech Flavors & Fragrances
Food Additives Plastics / Additives / Polymers / Resins
Household Products (Water etc.) Electronic Chemicals
Agricultural Adhesives
Cosmetics Paints / Coatings / Inks
Photographic / Film Soaps / Detergents / Cleansers
Industrial & Petrochemicals    
Other   (Please Specify)   
     
D. Number of staff employed by your company? *
1 - 49 400 - 499
50 - 99 500 - 999
100 - 199 1000 - 4999
200 - 299 5000+
300 - 399
     
E. Involvement of products/services manufactured or supplied: *
Manufacturer
User
Distributor
Buyer
Other   (Please Specify) 
     
F. What is your area of responsibility? * (check all that apply)
Research Tolling/Sourcing
Purchasing Marketing
Development & Scale-up Engineering
Corporate Management Customer Service
Production Plant/Lab
Technical Services Other   (Please Specify) 
Sales
     
G. Are you interested to participate in one to one meetings with exhibitors? *
Yes No
If YES, please describe your interest. The organisers will identify the appropriate company for you to meet during InformexINDIA 2011.
     
H. Purchasing authority: *
Authorize
Purchase
Recommend
No Purchasing Authority
     
I. What is your forecasted spend over the next 12 months? *
$0 - $50,000
$50,001 - $100,000
$100,001 - $500,000
$500,001 - $1,000,000
$1,000,000 +
     
      
     
 
 
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