Complete the form in English or
attach business card and return to:
UBM Asia (Thailand) Co., Ltd.
By fax: +66 (0) 2 036 0588, +66 (0) 2 036 0599
or E-mail: [email protected]
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Subscription request
Please fill in the form in English □ Dr. □ Mr. □ Mrs. □ Ms.
Name : _____________________________________________________________________________________________________________
Last name : _________________________________________________________________________________________________________
Position : ____________________________________________________________________________________________________________
Company name : ___________________________________________________________________________________________________
Address : ____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Postcode : ____________________________________ Country : __________________________________________________________
Telephone : (+_____)- _________________________________________________________________________________________________
Fax :
(+_____)- _________________________________________________________________________________________________
Mobile :
(+_____)- _________________________________________________________________________________________________
Email : _______________________________________________________________________________________________________________