REGISTRATION FORM

Biomass Asia Conference 2013

• How did you get to know about this event?
• Invitation from the EU-Malaysia Biomass Sustainable Production Initiative (Biomass-SP) Secretariat
• Invitation from Malaysia Biomass Industries Confederation (MBIC)
• Advertisement, please specify which
• Others, please specify

• Company Name* :
• Address* :
•    
• City* :
• State* :
• Country* :select one ...AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCote D\'ivoireCroatia (Hrvatska) CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People\'s Republic of (North)Korea, Republic of (South)KuwaitKyrgyzstanLao People\'s Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, the Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
• Postal Code* :
• Contact Person :
• Designation : E-mail :
• Phone Number :Country Code Area Code Direct Number
• Fax Number :Country Code Area Code Direct Number

• Participant 1:Designation :
• E-mail:Phone Number :

• Pre-Conference Seminar
• Conference
• Pre-Conference Seminar + Conference

• Participant 2:Designation :
• E-mail:Phone Number :

• Pre-Conference Seminar
• Conference
• Pre-Conference Seminar + Conference

• Participant 3:Designation :
• E-mail:Phone Number :

• Pre-Conference Seminar
• Conference
• Pre-Conference Seminar + Conference

• Website :
• Focus Area : Energy High Value Chemical Eco-product Others:

Organisation Profile (max 200 words):

Registration Policy:

• Early bird registration and payment must be received by 31 March 2013.

• Cancellations must be received in writing either by e-mail or fax by 15 April 2013, to qualify for a refund. After 15 April 2013, there will be no refunds.

• A 50% cancellation fee will be deducted for all approved cancellations received by 15 April 2013. All refunds will be processed after the event. Substitutions may be made at any time.

• With approximately EUR 50-70/RM 225-315 per night, you can stay in one of our supporting 4-5 star hotels i.e. The Legend Hotel, Best Western Premier Seri Pacific Hotel, and Dynasty Hotel. Please contact the respective hotel directly for your accommodation arrangement.

EU-Malaysia Biomass Sustainable Production Initiative (Biomass-SP)
20 Jalan Diplomatik, Presint Diplomatik
62050 Putrajaya, Malaysia

Email: conference@biomass-sp.net | Phone +603-8884 8886/8882 Fax +603-8884 8838

www.biomass-sp.net