Conference Registration

Member

WLA Member

AGLN Member

WLAPharmase Member

Non - Member

Name of your company

Comapny Address

City

Country

Name

First Name

Last Name

What is your position in your company?

Email Address

Mobile Phone Number

Please upload your profile picture

Maximum file size: 2MB

Other people accompanying you

None

1

2

3

Name of other Attendees (if applicable)

First Name

Last Name

Position of other Attendees (if applicable)

E-mail of other Attendees (if applicable)

Please select your room

Single

Double

Food type

Muslim Halal

Vegan

Vegetarian

No requirement

T- Shirt ( *Note : W = Width, H = Height* )

Size S : W = 48cm H = 67cm

Size M : W = 51cm H = 70cm

Size L : W = 54cm H = 73cm

Size XL : W = 57cm H = 76cm

Size 2XL : W = 60cm H = 80cm

Size 3XL : W = 63cm H = 84cm

Packages Option

If you need extra nights or want to use a double occupancy room please email us to info@agln.co

Liability Waiver

This is to confirm that I am not an owr freight forwarding networks/alliances, profit or non-profit oriented organer/administrator/board member or adviser to othenization. I agree that if any form of link is established that my membership can be cancelled without refund and agree that AGLN/WLA Network Group may terminate my attendance/members and inform all members/attendees of my termination including other network owners, associations and alliances.

This is to confirm that we do not have any outstanding payables or disputes with any of our forwarding partners beyond 60 days. This is to confirm that we are not listed on any blacklisting in either FDRS, Freight Deadbeats or our local association, as any findings can be published.

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Bali, Indonesia 2nd - 5th October 2025