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Appointment Form

Thank you for your interest with our advertising TV. We look forward to meet you to discuss further on how to advertise your product. Do let us know when and where we can meet by filling the appointment form below.
Your name:
Company name:
Telephone:	Ex: 0356334785 (numbers only)
Fax:	Ex: 0356334786 (numbers only)
E-mail address:
Website:
Address:
Please enter date and time when you want our representative to meet you AT LEAST 1 WEEK after you submit this form, this will allow us more time to prepare our presentation according to your requirements.
Appointment Date:	Ex: 20 July 2007
Appointment Time:	Ex: 10.00pm
Where do you want us to meet you.