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* 1. Please provide the following details:

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* 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.

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

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

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

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

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

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

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