Petfood Industry - August 2013 - 70
August 23, 2013 Shanghai World Expo Exhibition & Convention Center * Shanghai, China In conjunction with Pet Fair Asia Attendee Registration Form Register online at http://petfoodforum.petfoodindustry.com/PetfoodForumChina Registration fee PetfoodIndustry US$360 (approximately 2,207 RMB) Registration includes all conference sessions, a generous buffet lunch, two coffee breaks and access to the Petfood Forum China tabletop exhibits. PLEASE TYPE OR PRINT CLEARLY, IN CAPITAL LETTERS (as you would like it to appear on your name tag): Name (last, first) __________________________________________________________ Job title _____________________________________________ Company name _____________________________________________________________ URL _____________________________________________ Address __________________________________________________________________ City _____________________________________________ State/province ______________________________________ Zip/postal code ________________________ Country ________________________________ Phone ________________________________ E-mail _________________________________________ Fax ___________________________________ Organizational function (e.g., marketing, management, R&D, veterinarian, etc.): _______________________________________________________________________ Industry segment (e.g., manufacturer, supplier, retailer, veterinarian, etc.): __________________________________________________________________________ Product segment (e.g., dry, wet, treats, etc., or equipment, ingredients, veterinarian, etc.): _________________________________________________________________ ❐ Yes Do you subscribe to Petfood Industry magazine? ❐ No ADDITIONAL ATTENDEES-same rates above apply. Name (last, first) ________________________________________________ E-mail _______________________________________________________ Name (last, first) ________________________________________________ E-mail _______________________________________________________ Name (last, first) ________________________________________________ E-mail _______________________________________________________ Name (last, first) ________________________________________________ E-mail _______________________________________________________ METHOD OF PAYMENT: ❐ MasterCard ❐ VISA ❐ American Express Name on card __________________ Billing address ___________________________________________________________________________________ City ________________________ Zip/postal code _____________ Country ________________________________________________________________ Card number ____________________________________ Signature _______________________________________________ Expiration date ____________ PROMOTIONAL CODE ______________________________ Please return this form with full payment to: Shanghai LyJa Cultural Media Co.,LTD. c/o Dawn Cao dawn_lyja@163.com Tel: +86.21.6447.4625 Fax: +86.21.6447.7022 Petfood Forum China will include a few tabletop exhibits. For information, contact Steve Akins at sakins@wattnet.net or Tel: +1.815.209.6444 or Dingding Li at Dingdingli@vip.163.com. For information on exhibiting at Pet Fair Asia, visit www.petfairasia.com/ en/center.php or contact Stephanie Xu at +86 21 6195 6088 Ext: 703 or email stephanie.xu@vnuexhibitions.com.cn. Registration to attend Pet Fair Asia is separate from Petfood Forum China registration. Register for Pet Fair Asia online at www.petfairasia.com/en/index.php. For information on hotels and travel packages, visit www.petfairasia.com/en/index.php.
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