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Name First:  Last:[*] Company Name [*] ex. News Digest Publishing Co., Ltd. Department [*] *Please enter "0" if you do not belong to any department. Title [*] Please enter "0" if you do not have a position. Address Build. etc.: Street: [*] City: [*] State: [*] Country: AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentineArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCosta RicaCote d'IvoireCroatiaCubaCyprusCzechDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominicaEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFederated States of MicronesiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRepublic of CongoRomaniaRussiaRwandaSaint Christopher and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluU.A.E.UgandaUkraineUnited KingdomUruguayUSAUzbekistanVanuatuVaticanVenezuelaViet NamYemenZambiaZimbabwe[*] Postal Code: [*] Tel. [*] Fax. E-mail [*] <<Input [*] <<Confirmation ex. xxxx@news-pub.co.jp Password *Please Enter alphanumeric characters between 8 and 12 characters. [*] <<Input [*] <<Confirmation Scheduled date/time (*) 7/4 (Thu) AM 7/4 (Thu) PM 7/5 (Fri) AM 7/5 (Fri) PM 7/6 (Sat) AM 7/6 (Sat) PM Q1. What is your industry sector? (*) a. Automobile parts/ Transport equipment b. Machinery & parts c. Phermaceutical / Food/ Cosmetics d. Logistics/ Transportations e. Electrical/ Electronics f. Telecommunications/ Software g. Other manufacturing h. Trading companies/ Agencies i. Goverment/ Public office/ Education j. Students k. Others (Including overseas visitors) Q2. What is your occupation? (*) a. Research and development b. Engineering design c. Manufacturing d. Production engineering e. Quality management f. Procurement and purchasing g. Sales and marketing h. General affairs, management i. Management j. General k. Others Q3. What is your job title? (*) a. Manager/Officer b. General manager / Deputy manager c. Section manager d. Section manager/Chief e. Employees f. Others Q4. What is your main purpose of visiting RTJ2024? (Multiple selections allowed)(*) a. Purchasing new products b. Gathering new information c. Industry trend research d. FA equipment research e. Observe actual robot operation f. Visiting event by organaizer g. Attending seminars h. Job hunting i. Others Q5. Which of the following is your planned method of visit? (Multiple selections allowed) (*) a. Car b. Private car c. Airplane d. Free shuttle bus to/from JR Kariya Station e. Others Q6. How did you hear about this exhibition? (Multiple selections allowed) (*) a. Invitation ticket & e-mail from the organizer b. Invitation ticket & e-mail from the exhibitor c. Introduction by an acquaintance d. SEISANZAI MARKETING Magazine e. Newspaper/magazine f. robot digest h. Internet i. Others

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