Event Registration
Toshiba Mobile Xchange : Accelerate Business with IT
Date :November 26, 2008
Venue :Ritz Carlton Hotel, Jakarta
Registration Type
By filling out this form, you will automatically be registered for the event. If you only wish to inquire about the event, or have a question about registration, please write to us at
secretariat@idc.com
.
Individual
Group
(2 or more delegates from the same company)
Delegate Information
(fields marked with an * are compulsory)
Salutation
-Please select-
Mr
Ms
Mrs
Dr
*
First Name
*
Last Name
*
Job Title
*
Department
Phone - General Line
-
-
* Ext:
(Format: Eg. 603-2169-7521)
Phone - Direct Line
-
-
Mobile Phone
-
(Format: Eg. 6012-3213323)
Fax
-
-
Email
*
Note: A valid corporate email address is required. Users of free or personal email accounts such as Hotmail, Yahoo, MSN, gmail etc will not be accepted.
Delegates
No Delegates Added.
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