简体中文
 
  Exhibition application form  
 
Book a Stand Form   R47The 40th American autumn international medical home care and
I am interested in *   Show Name:
What size stand are you interested in *
   
9m² 18m² 24m² 36m² Other
Please select at least one of the options
If other, Please specify

 

Email Address *

 

Title

 

First Name *

 

Please enter the First Name
Last Name *

 

  Please enter the Last Name
Company Name *

 

  Please enter the Company Name
Job Title *

 

Please enter the Job Title
Company Address1 *

 

Please enter the Company Address
Company Address2

 

City *

 

Please enter the City
Country *

 

Please enter the Country
Mobile +

 

Phone Number * +

 


Country Code,    Area Code,     Phone number
Fax Number +

 

Website *

 

Security code *

 

 
 
Consultac Expo Co., Ltd
Tel:+86 (10) 8225 8800
13910074662 (Wechat)
Fax:+86 (10) 8225 0600
Email: info8@consultac.com.cn
Add:Rm 1604, Tower A, North Ring Center, 18 Yumin Rd., Xicheng District, Beijing, 100029, P.R.China
Zip code:100029
Copyright © 2007 Consultac Expo Co., Ltd. All Rights Reserved.   Beijing ICP for 07031783-1   Beijing public AnBei No. 10102000376