Title	:	Select Mr Mrs
First Name	:
Last Name	:
Nationality	:
Designation	:
Company	:
Address	:
Country	:
Telephone	:
Fax	:
E-mail	:
Web Address	:
Which business categories are you in?	:	Select Importer Wholesaler Agent / Distributor Department Store Retailer Manufacturer / Exporter
Which product categories are you interested in?	:	Select Gold Jewellery Silver Jewellery Gemstones (Cut & Polished) Gemstones (Rough) Gemstones (Job Cutting) Equipment & Tools Jewellery Other
Please indicate the purpose(s) of your visit	:	Select Establish Contacts / Visit Suppliers Gather Information Seek Representatives Source Technology Place Orders Evaluate show for future participation Other
Hotel reservation Section (fill only if this service is required)
Name of Hotel	:	Select Hilton colombo Ceylon Continental Hotel Cinnamon Grand
Room type		Select Single Double Triple
Date of Arrival in Sri Lanka	:
Flight Number	:
Duration of Stay	:	Select Days 1 2 3 4 5 6 7 8 9 10
Require Airport Pickup	:	Select Yes No
Special Requests	: