SEMINAR REGISTRATION FORM

27 – 30 SEPTEMBER 2017

Please type the title of seminar that you are interested in…

Seminar Title: ___________________________________________________________________

Personal Information

1. Name: ________________________________________________________________________

2. Position: _______________________________________________________________________

3. Company: _______________________________________________________________________

4. Address: ________________________________________________________________________

_______________________________________________________ Postal Code: __________________

5. Telephone: _______________________________________________________________________

6. E-mail:_______________________________________Fax: _______________________________

Please email this Registration Form to rea@pelitapromo.com or fax to (62) 21 5325887