Global Technical and Trade Conference on Shrimp

REGISTRATION FORM GLOBAL TECHNICAL AND TRADE CONFERENCE ON SHRIMP
DELEGATE INFORMATION
Delegate
Designation
Company
Address
City
Post Code
State/Province
Country
Tel
Fax
E-mail

BUSINESS CATEGORIES: (please tick accordingly)

Exporter	Importer
Processor	Canner
Wholesaler	Distributor
Retailer	Caterer
Broker	Consultant
Official	Service
Press	Other (Please specify)

*REGISTRATION FEE :** (please tick accordingly and calculate the Total)

Non-Member Countries	US$ 575
FIN Member Countries	US$ 375
Accompanying Spouse	US$ 150
		Total US$

Payment Details
Mode of Payment :
A bank draft drawn on a U.S bank payable to 'INFOFISH'
Charge my credit card
Card type:	AMEX MASTER VISA
Cardholder's name:
Card No:
Expiry Date:
Telegraphic transfer to :	INFOFISH A/c No: 0-111659-028. Citibank Bhd, Menara Citibank 165 Jalan Ampang, 50450 Kuala Lumpur, Malaysia