* 1. Please provide the following details:

* 2. In place of a personal signature, our Circulation Auditor requires that you answer an audit verification question to ensure the authenticity of your subscription request:

- Please provide us with your Day of Birth.

* 3. Kindly provide the Primary Business at this location:

* 4. Please select One of the following job category that best describe your job:
~~Association Related: ~~~~~~~~~~~~~~~~~Non-Association Related:~~~~~

* 5. Please select ONE of the following job function that best describe your responsibility:

* 6. Kindly provide the details of the key decision maker(s) in destination/product selection. (Full name, designation, email and contact number)

* 7. Does your association engage any Professional Congress Organizer (PCO) or Association Management Company (AMC) to assist in planning your congress?

* 8. What is the frequency of the congress that your association organizes?

T