KLIBF 2012 REGISTRATION FORM GENERAL by wlYLAN

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									                                                                                                                      Organised by:

                                                                                                                      MAJLIS BUKU KEBANGSAAN MALAYSIA
                                     QuickTime™ and a                                                                 (NATIONAL BOOK COUNCIL OF MALAYSIA)
                                      decompressor                                                                    LEVEL 1, BLOCK 2251,
                              are neede d to see this picture.                                                        JALAN USAHAWAN 1,
                                                                                                                      83000 CYBERJAYA, MALAYSIA.
                                                                                                                      Tel.:   +603 8321 7011
                                                                                                                      Fax.:   +603 8321 7012
                                                                                                                      E-mail: mbkm@moe.gov.my
                                                                                                                      Website: http://www.kualalumpurbookfair.my

27th April – 6th May 2012                               PUTRA WORLD TRADE CENTRE, KUALA LUMPUR, MALAYSIA

BOOKING FORM
Please print or write in capital letters.

Name of Company/Organisation: ………………………………………………………………………...........................

Name to appear on booth fascia (In BLOCK LETTERS):




Contact Person: Mr./Ms................................................................... Designation:..................................................

Address: ……………………………………………………………………………….……………………………….............

......................................................................................................................................................................................

City: ……………………..........................                              Postcode: .........................................              Country: ………...……………

Tel.: …..………………………….....................…                                                         E-mail: ……………………………………….................

Mobile: ……………………………………...........                                                                  Fax: ………………………………….....................…...

Nature of Business:                        Book Publisher                                   Bookseller                              Rights Agent
(Tick where applicable)
                                            Teaching Aids/                                 Book Importer/                           Others (Please specify)
                                            Software Developer                             Distributor
                                                                                                                                 ............................................................

Book Category:                              Higher Learning Books                           Teaching Aids / Educational
(Tick where applicable)
                                            School Textbooks                                Novels/ Magazines

                                            Children’s Books                                Technology/ Science Books

                                            Religious Books                                 Others (Please specify) ……………………………………………..

                                                                                                       - Registration Number and Year of Registration -

Member of:                                  MBEIA                                                  ……………………………………………………………………
(Tick where applicable)
                                            MBA                                                    ……………………………………………………………………

                                            PKBM                                                   ……………………………………………………………………

                                            MABOPA                                                 ……………………………………………………………………

                                            MAPIM                                                  ……………………………………………………………………

                                            PPPBBM (IKATAN)                                        ……………………………………………………………………

                                            DIBMM                                                  ……………………………………………………………………




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          BOOTH RENTAL                    TUN HUSSEIN ONN HALL
             RATES                         TUN DR ISMAIL HALL                          LEGAR PUTRA
                                            TUN RAZAK HALL 3
                                            TUN RAZAK HALL 4
                                              MAWAR HALL


Local Exhibitor (Member)                         RM4,300.00                                 RM 5,100.00



Local Exhibitor (Non Member)                     RM5,300.00                                 RM 5,700.00



Foreign Exhibitor                               USD 1,900.00                            USD 2,100.00


*Note: TUN RAZAK HALL 4 IS DESIGNATED FOR INTERNATIONAL EXHIBITORS. CLOSING HOUR IS 7.00 pm


Number of booth(s) required:

  Category of Applicant        No. of Booth         Rate per Booth         Preferred Hall         Total (RM/USD)


Local Exhibitor


Foreign Exhibitor


Both the completed registration form and payment in full must be received by 31st DECEMBER 2011.

Payment should be made in favour of:    MAJLIS BUKU KEBANGSAAN MALAYSIA
I hereby declare that the information given is true, and agree to abide by the General Terms and Conditions
stipulated in the Kuala Lumpur International Book Fair 2012 as listed overleaf.



…………………………………..                         ………………..………………………………..                                ………………......……
   Signature                                 Company Stamp                                       Date

Please send the completed registration form and payment in full to the sales office at:

ORIENTAL BUSINESSLINK SDN. BHD.
No. 20, Jalan Semarak, 54100 Kuala Lumpur, Malaysia.

Tel.: +603-2694 4799 Fax.: +603-2694 4766                E-mail: oblsemarak@yahoo.com.
For office use:
No. of Booth(s) Booked                                                             REMARKS
Date of Application Received
Cheque No./Bank
Amount
Received by
Invoice No.
Receipt No.




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EXHIBITOR'S PROFILE                                                                                                                 (COMPULSORY)
(A brief introduction to each exhibitor will be printed in the book fair directory).

Please complete the following details and send the profile via fax to the sales office at +603-2694 4766
or via e-mail to oblsemarak@yahoo.com by 31st December 2011. Thank you for your kind attention.
Your cooperation is greatly appreciated.

Please print or write in Block Letters

Name of Company/Organisation: .........................................................................................................

Contact Person: Mr./Ms...........................................................................................................................

Designation: ...........................................................................................................................................

Address:
…………………………………………………………………………….…………………………………...........

...................................................................................................................................................................

City: ……………………........................................Postcode:...................................................................

Country:……...………...............................................................................................................................

Tel.: …..…………………......................... Mobile: ………………………. Fax: …………………………...

E-mail: ………………………………………………Website: ..................................................................

Company/Organisation Description:
(Please write your company/organisation description in not more than 100 words)


………………………………………………………………………………………………………………………


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Note: Incomplete submission of Exhibitor’s Profile may result in your company/organisation being omitted from
the book fair directory. The Organiser accepts no responsibility for inaccurate information printed in the directory.




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