| Name |
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| Title |
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| Company |
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| Address |
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| City |
:
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| State
/ Area Code |
:
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| Country |
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| Telephone |
:
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| Fax |
:
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| Email |
:
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| A.
Please indicate line of your business
: |
Architect
Art Galleries
Buying Officer
Wholesaler
Department Store
Distributors
|
Importer
Interior Decorator
Merchandising Agent
Wholesaler
Others, please specify
|
| B.
Please indicate type of product
you are interested in :
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|
Housewraes,
Home & Garden Decorative
Aquarium & accessories
Bathroom wares
Bird cage / bird house & accessories
Candle holder
Carpet
Ceramic flowers vase
Christmas tree & accessories
Candle
Craft silver
Cushion cover
Dried flowers
Doormat
Embroidery bed cover
Garden furniture
Glass item
Fashion
Garment & Embroidery
Fashion embroidery garment
Hand woven fabric
Indonesian ikats
Indonesian songket
Indonesian ulos
Moslem dress
Printing & painting batik
Gifts
Item
Artificial flowers
Aromatherapy
Ballpoint & wooden box
Candy jar
Cigarette box
Jewelry box
Key accessories
Lighter box
Small photo frame
Stationery item
Woven blanket throw
Miscellaneous
Crafts
Please specify ..................
|
Garden ornament
Garden bridge
Garden statues
Kitchen wares, basket wares, table wares
Lighting lamp
Natural stone
Ornament
Painting
Place mate
Pottery
Plan terrace set
Self watering hanging planter
Table cover embroidery
Umbrella
Wind chime
Wood carving
Accessories
Belt
Brose
Ladies bag
Shoes
Jewelry
Gold jewelry
Pearl jewelry
Precious stones
Silver jewelry
Shell jewelry
Toys & Game
Education games
Footballs
Game board
Inflatable toys
Jigsaw puzzles
Soft toys
Toys box
Wooden toys
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| C.
Please indicate the purpose of
your visit : |
Finding Joint Venture
Gathering Information
Looking for new supplier
Source for new product
Make Contract |
Place Orders
Source for new product
Seeking Representation
Others, (please specify)
|
| D.
How did you find out about GELAR UKM MITRA
BINAAN BUMN : |
Association / Institutions
Chambers of Commerce
Trade Fair Directory
Foreign Trade Agency
Indonesian Embassy
Indonesia Industrial and Trade Attache
Internet (Website) |
Newspaper
Trade Fair Directory
Trade Magazine
Trade Promotion Organization
World Trade Center
Others, (please specify)
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| OFFICIAL HOTEL / PACKAGE and TRANSFER
RATE |
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| Reservation :
MARINTUR,
PT
GEDUNG AMBHARA
Jl. Dr. Sahardjo No.181
Jakarta Selatan 12860 Indonesia
Phone : (62-21) 8301242-44, 8307677, 8280391
Fax : (62-21) 8301245
e-mail : marinjkt@indo.net.id
http : http://www.marintur.co.id/
Contact Person : Ms. Aditiya Irawati or Mr.Hariadi |
| |
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|
| Method
of payment : |
|
|
| *
Bank Transfer |
:
Marintur
Bank International Indonesia
KCP. Dr. Sahardjo, Tebet, Jakarta 12860, Indonesia
A/C No. 2-030-10165.9 |
*
Credit Card
|
Remarks : |
|
|
*
Please sign and return this form.
Payment by credit card, there will be a 3% additional
bank charges
| |
(
.................................) |
|
(*)
Hotel Rates include : 1 Night
Accommodation (Sgl/Dbl), 1
breakfast for single / 2 breakfast
of double and government tax
and service charge
(**) Packages Rates include : Transfer Airport - Hotel
- Airport, 1 night accommodation, Toll and Parking Fee,
Porterage, Private AC Car and English Speakin Guide for
Transfer Ass. |
Transfer Rate Only : |
|
|
A.
US$ 22/Car/Nett (One Way)
Includes: TollFree, Parking Fees, and Private AC Car.
B. US$ 57/Car/Nett (One Way)
Includes: Toll
Free, parking Fees, Private AC Car, Porterages and airport Assistance ( Maximum
Four person )
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