FURNITURE ORDER FORM

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1 Suppliers of Exhibition Infrastructure Please provide your basic company details below. FURNITURE ORDER FORM Company Name: Stand Number: Contact Name: Address: Item Code Description Dimensions Qty. Unit Price Total COUCHES 1019B Two Seater Couch - Black 1650mm W x 830mm D x 790mm H R W Two Seater Couch -White 1650mm W x 830mm D x 790mm H R B Single Seater Couch - Black 840mm W x 830mm D x 790mm H R W Single Seater Couch - White 840mm W x 830mm D x 790mm H R B Black Motion mm W x 610mm D x 480mm H 1038W 1038R 1038L 1040 White Motion 3 Red Motion 3 Lime Motion 3 Divan Red 2 Seater 1820mm W x 610mm D x 480mm H 1820mm W x 610mm D x 480mm H 1820mm W x 610mm D x 480mm H 1600mm W x 620mm D x 950mm H R B Two Seater Couch - Black 2080mm W x 900mm D x 920mm H R R 1042BL Two Seater Couch (Black with red seats) Two Seater Couch (Black with blue seats) 2080mm W x 900mm D x 920mm H R mm W x 900mm D x 920mm H R B Tub Chair - Black 800mm W x 830mm D x 810mm H R BO Tub Chair - Burnt Orange 800mm W x 830mm D x 810mm H R R Tub Chair - Red 800mm W x 830mm D x 810mm H R BARSTOOLS 1000W Bar Stools - Chrome & White 390mm W x 440mm D x 1020mm H R Bar Stools - Chrome & Black 390mm W x 440mm D x 1020mm H R OR Bar Stools - Chrome & Orange 390mm W x 440mm D x 1020mm H R Bar Stools - Chrome & Grey 370mm Diam. x 820mm H R Bar stools - Black Gas Lift 440mm W x 400mm D x 660mm H (lowest) - 870mm H (highest) R W Bar stools - White Gas Lift 440mm W x 400mm D x 660mm H (lowest) - 870mm H (highest) R

2 1028W Saddle Gas Lift Bar Stools (White) 450mm W x 420mm D x 640mm H (lowest) - 840mm H (highest) R B Saddle Gas Lift Bar Stools (Black) 450mm W x 420mm D x 640mm H (lowest) - 840mm H (highest) R R Saddle Gas Lift Bar Stools (Red) 450mm W x 420mm D x 640mm H (lowest) - 840mm H (highest) R BR Waterfall Gas Lift Bar Stools (Brown) 340mm W x 400mm D x 710mm H (lowest) - 920mm H (highest) R W Waterfall Gas Lift Bar Stools (White) 356mm W x 420mm D x 650mm H (lowest) - 870mm H (highest) R B Waterfall Gas Lift Bar Stools (Black) 356mm W x 420mm D x 650mm H (lowest) - 870mm H (highest) R R Waterfall Gas Lift Bar Stools (Red) 356mm W x 420mm D x 650mm H (lowest) - 870mm H (highest) R BROCHURE STANDS 1014A 1014B Brochure Stand (5 x A4 Brochure Holders) Brochure Stand (3 x A4 Brochure Holders) 340mm W x 405mm D x 1290mm H R mm W x 310mm D x 1240mm H R C Brochure Stand - Zigzag 450mm W x 450mm D x 1660mm H R COCKTAIL TABLES 1005A Cocktail Table - Aluminium 600mm Diam. x 1100mm H R B Cocktail Table - Black Top 700mm Diam. x 1100mm H R C Cocktail Table - Glass & Chrome 600mm Diam. x 1100mm H R D Cocktail Table (Chrome & Black Gas Lift) 600mm Diam. x 670mm H (lowest) & 910mm H (highest) R E-W 1005E-B 1005E-Y 1005E-BL 1005E-R 1005E-G (White Stretch Fabric) (Black Stretch Fabric) (Yellow Stretch Fabric) (Blue Stretch Fabric) (Red Stretch Fabric) (Green Stretch Fabric) COFFEE TABLES 1018A Coffee Table - Black top 500mm x 500mm x 440H R B Coffee Table - Chrome & Glass 1180mm W x 580mm D x 440mm H R C Coffee Table - Chrome & Glass 500mm W x 500mm D x 440mm H R D Coffee Table 680mm W x 1320mm D x 445mm H R E Coffee Table 680mm W x 680mm D x 500mm H R DISCUSSION TABLES 1006 Discussion Table (Beech wood Round) 800mm Diam. x 750mm H R

3 1006A Discussion Table - Aluminium 800mm Diam. x 445mm H R Discussion Table - Chrome & Glass 1000mm Diam. x 700mm H R A Chrome & Cherry wood Table 900mm Diam. x 700mm H R B Chrome & White Table 900mm Diam. x 700mm H R C Chrome & Beech wood Table 900mm Diam. x 700mm H R Square Cherry wood Table 800mm Square R A Granite Table 800mm Square R OTTOMANS 1035B Ottoman - Black 400mm W x 400mm D x 450mm H R BE Ottoman - Beige 400mm W x 400mm D x 450mm H R BR Ottoman - Brown 400mm W x 400mm D x 450mm H R BO Ottoman - Burnt Orange 400mm W x 400mm D x 450mm H R BL Ottoman - Blue 400mm W x 400mm D x 450mm H R W Ottoman - White 400mm W x 400mm D x 450mm H R Y Ottoman - Yellow 400mm W x 400mm D x 450mm H R R Ottoman - Red 400mm W x 400mm D x 450mm H R G Ottoman - Grey 400mm W x 400mm D x 450mm H R A-B Ottoman - Black 800mm W x 400mm D x 450mm H R A- BE 1035A- BR 1035A- BO 1035A- BL Ottoman - Beige 800mm W x 400mm D x 450mm H R Ottoman - Brown 800mm W x 400mm D x 450mm H R Ottoman - Burnt Orange 800mm W x 400mm D x 450mm H R Ottoman - Blue 800mm W x 400mm D x 450mm H R A-W Ottoman - White 800mm W x 400mm D x 450mm H R A-Y Ottoman - Yellow 800mm W x 400mm D x 450mm H R A-R Ottoman - Red 800mm W x 400mm D x 450mm H R A-G Ottoman - Grey 800mm W x 400mm D x 450mm H R B 1039W 1039L 1039R Black & White Ottoman set of 4 Black Ottoman set of 4 White Ottoman set of 4 Lime Ottoman set of 4 Red Ottoman set of W Tam Tam Stools - White 300mm Diam. R B Tam Tam Stools - Black 300mm Diam. R R Tam Tam Stools - Red 300mm Diam. R CHAIRS

4 1002 Chairs - Aluminium 480mm W x 540mm D x 740mm H R Chairs - Go-go Chrome & Black 580mm W x 440mm D x 830mm H R Chairs - Chrome & Black 540mm W x 480mm D x 800mm H R Wire Chair - Chrome 840mm W x 540mm D x 800mm H R Chrome & Orange Transparent Chair 455mm W x 490mm D x 760mm H R Chrome Red & Chair 565mm W x 500mm D x 780mm H R Chrome & White Chair 550mm W x 560mm D x 810mm H R A Chrome & White Chair -- R R 1037W Red Ant Chair - For hire in Gauteng Area Only White Ant Chair - For hire in Gauteng Area Only 700mm W x 640mm D x 800mm H R mm W x 640mm D x 800mm H R Boardroom Directors Chair - Black 610mm W x 520mm D x 1040mm H (lowest) 1160 H (highest) R Stacker 500 Black & Chrome Padded Chair 530mm W x 460mm D x 780mm H R A Stacker Padded Chair - Black -- R STANDING LAMPS 1049A Wooden Standing Light 255mm diam. (top) x 150mm diam. (bottom) x 1615mm H R B Chrome Standing Light 300mm square (top) x 1590mm H R COAT STAND 1050 Chrome Coat Stand 300mm diam. (base) x 1830mm H R KIDS 1051S Bean Bag Small 650mm W x 650mm D x 850mm H R L Bean Bag Large 900mm W x 900mm D x 1100mm H R Kiddies Table & Chairs Set -- R T Kiddies Table 790mm square x 500mm H R C Kiddies Chair 300mm W x 340mm D x 550mm H R ACCESSORIES 1008 Display Cabinet 500mm W x 500mm D x 1980mm H R Display Cabinet 1000mm W x 500mm D x 1980mm H R Display Cabinet 1000mm W x 500mm D x 900mm H R A Bar Fridge 465mm W x 500mm D x 830mm H (130 litres) R B Beer Cooler 900mm W x 520mm D x 910mm H (198 liters) 1011C Upright Glass Door Cooler 615mm W x 580mm D x 1935mm H (400 liters) R Lockable Cupboard 1000mm W x 500mm D x 880mm H R

5 1025 Desk 1000mm W x 500mm D x 760mm H R Ashtray / Dustbin 270mm Diam. x 620mm H R A Small Dustbin -- R Square Stackable Plinths - Set of 4 500mm x 500mm x 500mm H R Aluminium & Wood Counter 1800mm W x1000mm D x 1100mm H R Retractable Barrier 280 Diam. Base x 915mm H & Extends up to 1.7m R Office Desk 1200mm W x 750mm D x 750mm H R A Tall Cloths Rail 1050mm W x 500mm D x 1525mm H R B Short Cloth Rail 1300mm W x 505mm D x 1280mm H R Wooden Seat 900mm W x 340mm D x 350mm H R Wooden Bench / Lounger 2170mm W x 650mm D x 460mm H R B Scatter Cushion - Black 400mm x 400mm R L Scatter Cushion - Lime 400mm x 400mm R BO Scatter Cushion - Burnt Orange 400mm x 400mm R R Scatter Cushion - Red 400mm x 400mm R BL Scatter Cushion - Blue 400mm x 400mm R Y Scatter Cushion - Yellow 400mm x 400mm R Sub-Total 14% VAT Grand-Total *DEADLINE FOR SUBMISSION OF ORDERS: 30 JANUARY 2015 Complete and fax to: Jabu Mtshali on / Helpline: jabu@3ddesign.co.za Contact Name: Phone Number: Full Postal address: Tel: Fax: Address: Company VAT #: Payment Method: Signature: Date: TERMS AND CONDITIONS Orders received after the deadline indicated above will incur a 20% surcharge. Full payment is required to confirm your order. Nothing will be delivered or installed without payment. Goods must be returned in good order and condition. Full payment is due on all orders placed and delivered, whether utilized or not.

6 COUCHES BARSTOOLS TWO SEATER COUCH SINGLE SEATER COUCH CHROME BARSTOOL CHROME & GREY BARSTOOL Black: 1019B Black: 1023B White Code: 1000W Code: 1001 White: 1019W White: 1023W Black Code: 1000 Red: 1019R Red: 1023R Orange Code: 1000OR Lime: 1019L Lime: 1023L MOTION 3 GAUTENG ONLY DIVAN 2 SEATER RED GAUTENG ONLY GAS LIFT BLACK BARSTOOL SADDLE GAS LIFT BARSTOOL Black: 1038B White: 1038W Red: 1038R Code: 1040 White Code: 1022W Black Code: 1022 White Code: 1028W Black Code: 1028B Red Code: 1028R Lime: 1038L TWO SEATER COUCH BLACK TWO SEATER COUCH BLACK WITH RED SEATS WATERFALL GAS LIFT BARSTOOL BROWN WATERFALL GAS LIFT BARSTOOL Code: 1042B Code: 1042R Code: 1029BR White Code: 1029W Black Code: 1029B Red Code: 1029R BROCHURE STANDS TWO SEATER COUCH BLACK WITH BLUE SEATS Code: 1042BL TUB CHAIR Black: 1043B Burnt Ornage: 1043BO Red: 1043R 5 X A4 BROCHURE STAND Code: 1014A 3 X A4 BROCHURE STAND Code: 1014B ZIG-ZAG BROCHURE STAND Code: 1014C

7 OTTOMANS COCKTAIL TABLE 1100mm (h) x 600mm (d) Code: 1005A COFFEE TABLE 500mm x 500mm x 440mm (h) Code: 1018A BEECHWOOD DISCUSSION TABLE 750mm (h) x 800mm (d) Code: 1006 OTTOMAN Black: 1035B Beige: 1035BE Brown: 1035BR Burnt Orange: 1035BO Blue: 1035BL White: 1035W Yellow: 1035Y Red: 1035R Grey: 1035G COCKTAIL TABLE (BLACK TOP) 1100mm (h) x 700mm (d) Code: 1005B CHROME & GLASS COFFEE TABLE Code: 1018B ALUMINIUM DISCUSSION TABLE 800mm (d) x 750mm (h) Code: 1006A COCKTAIL TABLES GLASS & CHROME COCKTAIL TABLE 1100mm (h) x 600mm (d) Code: 1005C COFFEE TABLES CHROME & GLASS COFFEE TABLE 500mm x 500mm x 440mm (h) Code: 1018C DISCUSSION TABLES CHROME & GLASS TABLE 700mm (h) x 1000mm (d) Code: 1007 DOUBLE OTTOMAN Black: 1035A-B Beige: 1035A-BE Brown: 1035A-BR Burnt Orange: 1035A-BO Blue: 1035A-BL White: 1035A-W Yellow: 1035A-Y Red: 1035A-R Grey: 1035A-G CHROME & CHERRYWOOD TABLE CHROME & GLASS COFFEE TABLE 700mm (h) x 900mm (d) CHROME & BLACK GAS LIFT COCKTAIL TABLE 1320mm (w) x 680mm (d) x 445mm (h) Code: 1018D Cherry: 1007A Beechwood: 1007C White: 1007B 900mm (h) x 600mm (d) Code: 1005D OTTOMAN SET OF 4 GAUTENG ONLY Black and White: 1039 Black: 1039B White: 1039W Lime: 1039L Red: 1039R SQUARE CHERRYWOOD TABLE CHROME & GLASS COFFEE TABLE 800mm (h) x 800mm (d) Code: 1041 COCKTAIL TABLE WITH STRETCH FABRIC 680mm x 680mm x 500mm (h) Code: 1018E 1100mm (h) x 600mm (d) White: 1005E-W Black: 1005E -B Yellow: 1005E - Y TAM TAM STOOL Blue: 1005E - BL Red: 1005E - R Green: 1005E - G SQUARE GRANITE TABLE 800mm (h) x 800mm (d) Code: 1041A White Code: 1036W Black Code: 1036B Red Code: 1036R

8 CHAIRS STANDING LAMPS ALUMINIUM CHAIR Code: 1002 CHROME & BLACK GO-GO CHAIR Code: 1003 CHROME & BLACK CHAIR Code: 1004 WOODEN STANDING LAMP Code: 1049A CHROME WIRE CHAIR Code: 1030 CHROME & ORANGE TRANSPARENT CHAIR Code: 1031 CHROME & RED CHAIR Code: 1032 CHROME STANDING LAMP Code: 1049B CHROME & WHITE CHAIR CHROME & WHITE CHAIR ANT CHAIR RED GAUTENG ONLY COAT STAND Code: 1033 Code: 1033A Orange Code: 1037R White Code: 1037W BLACK BOARDROOM DIRECTORS CHAIR STACKER 500 BLACK & CHROME PADDED CHAIR STACKER 500 BLACK & CHROME PADDED CHAIR Code: 1034 Code: 1046 Code: 1046A CHROME COAT STAND Code: 1050 KIDS BEAN BAG Code: 1051-S Code: L KIDDIES TABLE & CHAIR SET Code: 1052 KIDDIES TABLE Code: 1052T KIDDIES CHAIR Code: 1052C

9 ACCESSORIES DISPLAY CABINET FULL GLASS SHOWCASE DISPLAY CABINET DISPLAY CABINET DISPLAY CABINET 1980mm (h) x 500mm (d) x 500mm (w) Code: mm x 525mm x 1865mm (h) Code: 1008A 400mm x 400mm x 1800mm (h) Code: 1008B 1980mm (h) x 500mm (d) x 1000mm (w) Code: mm (h) x 500mm (d) x 1000mm (w) Code: 1010 SHOWCASE BAR FRIDGE BEER COOLER FRIDGE LOCKABLE CUPBOARD 750mm x 750 mm x 1225mm (h) Code: 1010A Code: 1011A Code: 1011B Code: 1011C 900mm (h) x 500mm (d) x 1000mm (w) Code: 1024 DESK ASHTRAY / DUSTBIN SMALL DUSTBIN SQUARE STACKABLE PLINTHS EACH ALUMINIUM & WOOD COUNTER 750mm (h) x 500mm (d) x 1000mm (w) Code: 1025 Code: 1012 Code: 1012A Code: mm (h) x 500mm (w) Code: 1017 WOODEN SEAT WOODEN BENCH / LOUNGER Code: 1047 Code: 1048 SCATTER CUSHIONS RETRACTABLE BARRIER OFFICE DESK CLOTHES RAIL - TALL Black 1044B Red 1044R Code: 1020 Code: 1026 Code: 1045A Lime 1044L Burnt Ornage 1044BO Blue 1044BL Yellow 1044Y

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