Visitor Pre-Registration
In order to pre-register for analytica Anacon India & India Lab Expo 2017, please fill out the registration form below.
Personal Information Mandatory (*)
*First name    Last name
*Company *Designation
*Address *City 
*Zip code     State
*Country *Mobile
*Phone no.   Fax no.
*E-mail   Website
1. Type of industry?
2. In what sector or branch of industry does your company primarily belong to?
Pharmaceutical Chemical & petrochemicals
Biotechnology Life sciences
Food & beverage Environment protection, environmental technologies
Water & waste management Material testing & inspection
Textile Universities, research institutions
Research laboratories Healthcare
Contracted laboratories Medical laboratory & medicine
Clinical diagnostics Forensic
Metal working/synthetics process Building sector
Cosmetics Oil,fats & oleo chemicals
Electrical engineering, electronics Aerospace industry, defence
Automotive Public authorities, publicfacilities
Other (please specifiy) 
3. What is your function in your company?
4. Please indicate your primary field of activity?
Management Production / manufacturing
Purchasing Marketing / sales
Research / development Quality control / quality assurance
Finance Training
Government Other (Please specifiy)
5a. What is your company`s primary activity?
Manufacturer Importer / exporter
Service provider Distributor / wholesaler
Dealer Government
Trade association Press and publications
Other (please specify)    
5b. What is your company’s primarily operating in…?
The industrial research and development The academic research and development (also professional schools and colleges)
Other research and development (please specify)  Authorities, public institutions
6. What is your primary field of interest?
Applications Analysis / quality control
Biotechnology / life sciences Clinical diagnostics
Laboratory technology / equipment Reagents, chemicals
Measuring and testing, quality control Information and services
7. What is the purpose of your visit?
Place purchasing order Contact existing suppliers and buyers
Seek retailers and distributors Identify new agents / joint-venture partners
Gather general market / product information Seek solution for special requirement
Visit analytica Anacon conference Other (Please specify)
8. How did you find out about analytica Anacon India & India Lab Expo 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)    
9. How much amount of business will be negotiated at this trade fair?
10 lakh 10 lakh – 25 lakh
25 lakh – 50 lakh 50 lakh – 1 crore
More than 1 crore
10. Would you like to attend analytica Anacon India Conference.
Yes      No
11. Add a friend / colleague.
Refer E-mail your friend / colleague. 
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