COMPANY DETAILCompany Na

*Kindly duplicate the form for participant’s data > 5 Persons

meType of Business Address Postal Code Phone Fax

C

PARTICIPANT FEE

ONTACT PERSON DETAILName DesignationPhone Ext. Fax E-mail Mobile Number

1.

2.

3.

4.

5.

TOTAL PAYMENT

IDR

Please forward the payment to:Bank BCA KCP Duta Merlin, Jakartaa/n: PT MarkPlus IndonesiaAcc #: 308-302-8676

No. Full Name Position Mobile E-mail

REGISTRATIONFORM

Did you get the program information from MarkPlus Salesperson? : Yes/NoName of Salesperson : __________________

#WOWBRAND17

THURSDAY, 9 MARCH 2017 | 08.00–17.00 WIBBALLROOM RAFFLES JAKARTAWHY: MARKETING 4.0

WHAT: NEW CONTENT HOW: DIGITAL PLATFORM

IDR 1,500,000 per person

Early Bird (before 9 February 2017)IDR 1,000,000 per person

Team PackageIDR 3,500,000 team 3 personsIDR 6,500,000 team 8 persons (1 table)

Fax : +62 21 - 5790 2339 ( Attn : Farah/Kathleen/Anne)Telp : +62 21 - 5790 2338 ext. 236/229/235email: info@markplusinc.com