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Welcome to the registration page.
Please complete the following form to register online - please fill in one form per person attending the show. Remember to fill in your details exactly as you wish them to appear on your entry badge.
You may clear the form and start over by clicking on the Clear Details button at the end of this page.
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Personal Details
Required fields are indicated with a red triangle
(
).
Title
Please Select
Mr
Ms
Mrs
Miss
Dr
Prof
First Name
Surname
Name for Badge
Job Title
Company Name
E-mail
PO Box
Address
Town / City
State
Post / Zip Code
Country
Please select your country
Brazil
Afeghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Ascension Is
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Is
Central African Rep
Chad
Chile
China
Christmas Is
Cocos Is
Colombia
Comoro Island
Congo
Cook Is
Costa Rica
Croatia
Cuba
Cyprus
Cyprus (Turk Occupied)
Czech Republic
Denmark
Diego Garcia
Djibouti
Dominican Rep
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Is
Faroe Is
Fiji
Finland
Fmr Ygslv Rep Of Mcdnia
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guatemala
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Guyana
Haiti
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Ireland North
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives Rep
Mali
Malta
Mariana Is
Marshall Is
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue Is
Norfolk Is
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa (American)
Samoa (Western)
San Marino
Sao Tome &Amp; Principe
Saudi Arabia
Senegal
Serbia And Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Is
Somalia
South Africa
Spain
Sri Lanka
St Helena
St Kitts + Nevis
St Lucia
St Pierre + Miquelon
St Vincent + Grndines
Sudan
Surinam
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad + Tobago
Tunisia
Turkey
Turkmenistan
Turks + Caicos Is
Tuvalu
United Arab Emirates
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Is (BR)
Virgin Is (US)
Wallis + Futuna Is
Yemen Arab Republic
Yemen PDR
Zaire
Zambia
Zimbabwe
Phone Number
(country code, area code, number)
Mobile Number
(country code, area code, number)
Fax
(country code, area code, number)
Website
1. Number of employees
1 - 9
10 - 49
50 - 99
100 - 499
500 - 999
1000+
2. Type of Organisation
Agent
Association
Container Production
Equipment Manufacturer/Supplier
Flat Glass Processing
Flat Glass Production
Glass Fiber Production
Glass Merchant
Other Glassware
Holloware Processing
Holloware Production
Industrial, Scientific and Technical
Glassware Production
Laboratory, Medical and Surgical
Glassware Production
Lighting Glass Production
Optical and Ophtalmic Glass Production
Tableware/Giftware Production
Other
3. Primary Responsibility
Education/Training
Financial Management
Production
Purchasing
Research and Development
Sales and Marketing
Technical Management
Test and Inspection
Works Management
Other
4. Purchasing Influence
Annealing Equipment
Batching Equipment
Cold End Equipment
Decoration Equipment
Flat Glass Processing Equipment
Forming Equipment
Inspection/Quality Control
Melting Equipment
Raw Materials
Other
5. Involvement
Manufacturer
Supplier
6. How did you hear about Glassman South America ?
E-mail
Colleague
Website
Mail
Word of Mouth
Glass International
Other
I would like to receive a free copy of the 2010 Glass International Directory (Directories will be sent to those who qualify).
I would like to receive a copy of Glass International
QBM may use the information you have supplied to send you details of other services and products offered by QBM. If you do not want your details used in such a way, please tick the box.
QBM may supply your details to carefully selected third parties so that they can make you aware of other products and services. If you do not want your details to be used in such a way, please tick the box.
For further information please contact:
Glassman South America 2010
Tel: +44 (0) 1737 855 391
Fax: +44 (0) 1737 855 463
Email:
daniellewolstencroft@quartzltd.co.uk
Website:
http://www.glassmansouthamerica.com/