Solution Center Visitor Registration Form By submitting this form, you hereby confirm that you have read and accepted the Personal Data Policy (“Personal Data Policy”) of Epson Malaysia Sdn Bhd (“Epson”), and you agree and consent that for the purposes of providing you with information on Epson’s products, relevant events and webinars and marketing and sales-related communications (if opted in and indicated above), responding to your queries, and such other purposes set out in our Personal Data Policy, Epson may collect, use, process, disclose and/or transfer any personal information and contact particulars submitted by you, in accordance with our Personal Data Policy. This may involve contacting you via email, phone call and such other communication platforms. You may withdraw your consent and unsubscribe at any time in accordance with our Personal Data Policy. The Personal Data Policy of Epson is available at: https://www.epson.com.my/personaldatapolicy.PDPA(Required) Yes No Consent(Required) Yes, I would like to opt in to receive marketing and sales-related communications regarding Epson products, services, and events. I can unsubscribe and opt out of receiving marketing and sales-related communications at any time.(Required)Visitor Type(Required)PartnerCustomerPurpose of Visit(Required)Product DemoTrainingSeminarSolution Center Tour for GuestsOthersFirst Name(Required) Last Name(Required) Company(Required) Position(Required)CEO/CIO/CFO/COOBusiness OwnerProject ManagerIT ManagerPurchasing ManagerAdmin ManagerFinance ManagerMarketing /Sales ManagerOthersEmail(Required) Phone(Required)✓ Valid number ✕ Invalid numberIndustry(Required)Agriculture/Forestry/FishingArts/EntertainmentAutomotiveBanking/Financial ServicesBusiness Support ServicesConstructionEducationEnergy/UtilitiesEnvironmental ServicesFnB/RetailGovernment/Public SectorHealthcare/MedicalHousehold Economic ActivitiesManufacturingMining/QuarryingReal EstateTelecommunications/NetworkingTransportation/LogisticsOthersLocation(Required) Selangor, Johor, Sabah, PenangWhich Solution Center you visit?(Required)Solution Center SelangorSolution Center KuchingI am interested in the following products(Required)Home & Home Office Printers - EcoTank SeriesBusiness Printers - EcoTank Business PrintersBusiness Printers - WorkForce Pro (Cartridge)Business Printers - WorkForce Pro (RIPS)Business Printers - WorkForce EnterpriseBusiness Printers - Technical Large Format PrintersBusiness Printer - Point-Of-Sale for Retail ShopsBusiness Printer - Dot MatrixBusiness Printer - Disc ProducerScanner - Document/Photo ScannersLabel Printers - Handheld label PrinterLabel Printers - Desktop Label Printer (Commercial)Large Format Printers - Signage Printer (Resin, Solvent, UV)Large Format Printers - Photo PrinterLarge Format Printers - MiniLab Photo PrinterLarge Format Printers - Direct-To-Garment Textile PrinterLarge Format Printers - Dye Sublimation Textile PrinterIndustrial Printers - Direct-to-Fabric Textile printerIndustrial Printers - Industrial Label PressesProjectors - Home ProjectorProjectors - High Brightness ProjectorProjectors - Corporate and Education ProjectorRobot - SCARA/6-AxisDo you have any specific requirements for this visit?Referral Source(Required)Epson DealerSocial MediaAdvertisingWord of MouthExisting Epson CustomerOthers