Visitor Registration Form
Personal Information Mandatory (*)
*First Name:  *Last Name:
*Company: *Designation:
*Address: *City: 
*Zip Code/Post Code:    *Country/Region:
*Mobile No. :   Telephone No.:
  Fax No.: *Email Id:
1. What is your influence on purchasing or procurement decision making in your company?
Final decision Evaluate and recommend Specify Not involved
2. How many employees does your company have? (Single choice)
3. Please indicate your primary field of activity? (Single choice)
4. Which Industry/Branch does your company belong to? (Single choice)
5. What is your main field of application of lasers and photonics? (Single choice)
6. Please indicate the product and technology you are looking for (Multiple choice)
Lasers and optoelectronics Manufacturing technology for optics
Systems by application sectors Imaging
Laser systems for production engineering Illumination and energy
Additive manufacturing Optical information and communication
Optics Services
Sensors, test & measurement Security
Biophotonics and medical engineering Optical measurement systems
Other (Please specify) 
7. How did you find out about LASER World of PHOTONICS INDIA 2017?
Association Call from Organizer  
Direct Mail from Organizer Google ads
Invitation from Conference Invitation from Exhibitor  
Invitation from Organizer Magazine (Please Specify) 
Online Advertisement Recorded message from organizer
Show Website SMS campaign
Other (Please specify)    
8. How much amount of business will be negotiated at this trade fair?
10 Lakh 50 Lakh - 1 Crore
10 Lakh - 25 Lakh more than 1 crore
25 Lakh - 50 Lakh NA
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