Chicago Request Form for Riau Island/Batam New Expanded Special Economic Zone Briefing

Thank you for interest in the Riau Island / Batam New Expanded Special Economic Zone Investor Briefing in Chicago, October 31, 2008. It is recommended that you complete the form below as soon as possible.

Participation will be offered on a space available basis to qualified individuals.

Thank you for your interest and cooperation.

I would like to attend the Riau Island/Batam New Special Economic Zone Investor Briefing in Chicago on Friday, October 31, 2008.

I would like to attend the Riau Island/Batam New Special Economic Zone Investor Briefing in Chicago on Friday, October 31, 2008. Yes

I will be unable to attend the Briefing but would appreciate more information about this and future events.

I will be unable to attend the Briefing but would appreciate more information about this and future events. Yes

Please call me at the telephone number indicated below to discuss this event and/or the possibility of arranging a one-on-one appointment with the Governor or one of the delegation members.

Please call me at the telephone number indicated below to discuss this event and/or the possibility of arranging a one-on-one appointment with the Governor or one of the delegation members. yes

Please indicate your telephone number below:

Please indicate your e-mail address below:

Please describe your principal business focus.

Please indicate your contact information below:

Please indicate your contact information below: Name:
Title:
Company:
Address:
City/State or Province:
Zip/Mailing Code:
Country:

Please include any additional comments or questions below:

Thank you for interest in the Riau Islands / Batam Expanded Special Economic Zone Investor Briefing in Chicago

KWR International, Inc.
275 Madison Avenue, 33rd Fl.
New York, New York 10016 U.S.A.
Tel: +1-212-532-3005
Fax: +1-212-685-2413
E-mail: riaubatam@kwrintl.com

Please make sure to CLICK on the DONE button BELOW after you are finished to ensure your request is received.

Your request will be acknowledged and all registrations confirmed under separate cover.