Visitor Registration

(*) Mandatory fields.

I wish to register to visit EXPO PESCA & ACUIPERU

Last name * :

First Name * :

Job title * :

Company * :

Address * :

Country * :

State * :

City * :

Zip Code * :

RUC* :

(Solo Para Perú)

Phone * :

Cell :

Email* :

Web :

Industry Sector :

Main Product/Service that Offer

Company Profile :

Specify (If you selected other)

I have the following authorization of purchase:

Specify (If you selected other)

Product Interest: