Contact Person First Name:
Mr.
Mrs.
Miss
Dr.
Prof.
Contact Person Family Name:
Function or Position:
Company Name:
E-mail Address:
Business Type:
-- Select Business Type --
Advertising/PR
Agriculture
Automotive
Aviation
Banking
Beverages/ Liquor
Bio Technology/Life Sciences
Cement/Building Materials
Chemicals/Pharmaceutical/Petrochemical/Paper/Paints
Construction, Architecture, Civil/Structural Engineering
Consulting
Consumer Goods
Education/Training
Energy/Power
Entertainment
Fashion/Leather /Beauty/Jewellery
Financial Services
Food/Dairy
Franchising
Government
Home Appliances/Office Equipment
Hospitality/Restaurant
Hospitals/ Health Care
Import / Export/Trading
Insurance
Iron/ Steel/Metals /Machinery/ Equipment Mfg.
IT Industry/Services
Legal/Fiduciary/Accounting/Controlling
Marketing Services/Market Research
Media: TV, Radio, Print, Web
NGO
not required
Oil/Gas/Petroleum/Mining
Plastic/Packaging
Publishing/Printing
Real Estate
Recreation/SPA/Fitness/Sporting Goods
Recruitment
Services/Retailing
Shipping/Forwarding/Courier/Transportation
Telecom
Textiles
Travel/ Tourism
(Select category of your business.)
Office Telephone Number:
Cell Phone Number:
Fax:
Postal Address:
Country:
-- Select Location --
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
ASEAN
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
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Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
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Congo (Zaire)
Cook Islands
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estoniav
Ethiopia
EU
Falkland Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gaza Strip and West Bank
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro (Yugoslavia)
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
The Gambia
The Holy See
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Virgin Islands
Uruguay
USA
Uzbekistan
Vanuatu
Venezuela
Vietnam
West Bank and Gaza Strip
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Province:
Select Province
Amnat Charoen
Ang Thong
Bangkok
Buri Ram
Chachoengsao
Chai Nat
Chaiyaphum
Changwat Samut Sakhon
Chanthaburi
Chiang Mai
Chiang Rai
Chon Buri
Chumphon
Kalasin
Kamphaeng Phet
Kanchanaburi
Khon Kaen
Lampang
Lamphun
Loei
Lop Buri
Mae Hong Son
Maha Sarakham
Mukdahan
Nakhon Nayok
Nakhon Pathom
Nakhon Phanom
Nakhon Ratchasima
Nakhon Sawan
Nakhon Si Thammarat
Nan
Narathiwat
Nong Bua Lam Phu
Nong Khai
Nonthaburi
Pathum Thani
Pattani
Phang Nga
Phatthalung
Phayao
Phetchabun
Phetchaburi
Phichit
Phitsanulok
Phra Nakhon Si Ayutthaya
Phrae
Phuket
Prachin Buri
Prachuap Khiri Khan
Ranong
Ratchaburi
Rayong
Roi Et
Sa Kaeo
Sakon Nakhon
Samut Prakan
Samut Songkhram
Saraburi
Satun
Si Sa Ket
Sing Buri
Songkhla
Sukhothai
Suphan Buri
Surat Thani
Surin
Tak
Trang
Trat
Ubon Ratchathani
Udon Thani
Uthai Thani
Uttaradit
Yala
Yasothon
State/Province:
Postal Code: