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Name *	Forename Surname
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TEL *	- - ex:81-3-52961020
FAX	- - ex:81-3-52961018

Questionnaires

What is your purpose(s) of visiting the exhibition? *
Looking for new suppliers, ingredients and services Consolidating contacts Hearing exhibitor's presentation workshops Attending conferences Research for exhibiting in next year Collecting market / product information Others ( )
What is your purchasing responsibility? *
Make purchase Authorise purchase Influence purchase Specify suppliers Recommend Supplier Researcher I have no purchasing responsibility Others （）
Which are your main products/ services of interest visiting Fine Chemicals Japan?*
Information and Communications Energy Rubber Cement Display Film Plastic Printer Rare earth Pharmaceutical Printing Cosmetic Surfactant Environment Pigment Building material Automotive Parts Manufacturers Food Water Treatment Paper and Pulp Soap, and Detergent Oil Adhesive Dyes Fiber Battery Paint Agricultural chemicals Semiconductor Deodorizer Fragrance Electronic components Others
Are there any product(s), company(s) or technology that you would like to see at the show? If yes, please specify.

Which geographic area(s) is your company active in?
Europe Eastern Europe Western Europe Russia (and other ex-CIS countries) Asia China Japan Korea India ASEAN(South East Asia) Others ( ) America North America Central America South America Middle East Turkey Others ( ) Africa Northern Africa Central Africa Southern Africa Oceania Australia & New Zealand
Which geographic area(s) is your company interested in?
Europe Eastern Europe Western Europe Russia (and other ex-CIS countries) Asia China Japan Korea India ASEAN(South East Asia) Others ( ) America North America Central America South America Middle East Turkey Others ( ) Africa Northern Africa Central Africa Southern Africa Oceania Australia & New Zealand

Exhibiting in Fine Chemicals Japan.
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Visitor agrees that the personal data provided for registration for the Exhibition may be included in the Organisers' database and used by the Organisers for promotional purposes. *

The organisers may take photographs inside and outside the exhibition halls during the fair and the photographs will be used on the website or printing materials for promotion purposes by the organisers.

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