Application Form
Indonesia Mold & Dies Industry Association
Official Web site: http://www.imdia.or.id
Company
Name
Representative
Member
Position
Employees Number
TEL No.
Mail No.
FAX No.
Address
Request Member
□ Corporate Member □ Individual Member
Please Tick the Type of Business (can choose more one)
□ Mold
□ Die
□ Plastic Injection
□ Press Forming
□ Casting
□ Forging
□ Rubber
□ Glass
□ Polystyrene
□ Die Cast
□ Metallurgy
□ Other
Comments/Inquiries
Company Stamp and Authorized Signature
Date:
Send to : Secretariat of Indonesia Mold & Die Industry Association(IMDIA)
JI.Raya Bogor Km.29 Jakarta Timur 13710
Contact
Ms. Margareth
FAX No
021-871-7864
TEL No
021-870-2852
Japanese Contact
Mr.Tanigawa
021-872-5603
e-mail No.
tanigawa@ypmg.org
Indonesia Contact
Mr.M. Kosasih
021-386-5831
kos_hur@yahoo.com
021-386-5833