2 nd European Conference on Pharmaceutics Application form Direct Exhibitor
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1 2 nd European Conference on Pharmaceutics Application form Direct Exhibitor 03 & 04 April 2017 in Krakow, Poland ICE KRAKOW (International Conferences and Entertainment) ul. Marii Konopnickiej 17, Krakow Company name of direct exhibitor Proprietor/Manager VAT-Id-No. Street Postcode, Town Country Please return to: APV GmbH 2 nd European Conference on Pharmaceutics Kurfuerstenstrasse Mainz / Germany Fax: +49 (0) ah@apv-mainz.de Person to contact Tel. / Fax Tel. (Company) (Company) Fax (Company) Invoice address (only if different) Internet We offer: Laboratory Equipment Small Scale Equipment Analytical Instruments Parent company (national/international) API Active Pharmaceutical Ingredients Excipients Services for the Pharmaceutical Industry CRO Contract Research Organisations others: Please specify 1/6
2 Application form Direct Exhibitor Application as direct exhibitor 2 nd European Conference on Pharmaceutics And acceptance of the conditions for participation (Please mark as appropriate) 1. Stand space 1 1 minimum stand space 9 sqm For rentals and specifications see item 7 of the Special Conditions for Participation. We desire the following size of stand: Total Stand space sqm Area Costs*/ sqm minimum stand space 9 sqm * Please select your preferred stand location from the current floor plan: /europeanmeeting/ausstellung_ec_2017/floorplan_e C_2017.pdf Prio 1 Prio 2 Prio 3 Please note that you are not entitled to get your favoured place. However we try our best to take into account your preferences. Included in your stand space are 2 passes (1 exhibitor batch, 1 full conference batch), which will be issued for up to 9 m² stand space. The personalized exhibitor pass is issued for every person working at the stand. The full conference batch as well as the exhibitor batch entitles you to attend the Welcome Reception. We would like to order additional full conference tickets. Apart from the exhibition, you have the opportunity to attend the lectures. As an exhibitor, you are granted a 10% discount on the regular registration fee. This offer is only valid for employees of the exhibiting company and cannot be transferred to third persons. The respective registration fees can be found in the event programme. Amount of additional full conference tickets Please fill in attachment 2 for the attendees. 3. Booth 2 2 please select only one: 3a for rental stand or 3b for customized stand design 3a) rental stand in addition to stand space, we order one rental stand for 50*/sqm + VAT (See item 8a of the Special Conditions for Participation and following order form) The rental stand includes: stand partition walls (white walls) fascia board with company name grey carpet lighting (3 spotlights) electrical connection & consumption (max. 1,5 kw), 2 wall sockets The specified price includes the cost of rental for the duration of the conference, the cost of assembly, disassembly and transport costs. The removal of any elements from the standard booth equipment package will not reduce the fixed rate. Fascia Board (maximum 20 letters) Please fill in attachment 1 for the attendees. 2. Additional tickets for exhibitor We would like to order additional exhibitor tickets (stand personnel) for 300*/each + VAT Welcome Reception is included in the price. Amount of additional exhibitor tickets * All charges are quoted plus statutory VAT valid at the time of the event 2/6
3 Application form Direct Exhibitor or in addition to the company name, we would like to order our company logo on the fascia board for 30*/each logo + VAT 3b) customized stand design We will use our own stand partitions We agree to erect 2.50 m high stand partitions on all closed sides of our stand (please confirm). Please be aware, that for design stands, electrical connection & consumption must be ordered separately. Contact: Monika Gregorczyk monika@artexpo.com.pl, kom tel wew. 13 mobile mobile Information for website and exhibitor catalogue Contact: name address fax tel. 4. Exhibitor furniture package We would like to order exhibitor furniture package for 200* per package + VAT (See item 8b of the Special Conditions for Participation and following order form) including: 1no. reception counter (100x50cm, heigh 100cm) 1no. medium round table 3no. ISO chairs and 1no. waste bin 5. Additional extras according to furniture brochure Catalogue and order form of additional extras for stands: /europeanmeeting/ausstellung_ec_2017/furniture_bro chure.pdf Please send your order to: Monika Gregorczyk monika@artexpo.com.pl, kom tel wew. 13 website Please send us also your logo (high resolution) and company description (not more than 100 words) for our website and exhibitor catalogue (please fill in attachment 3). * All charges are quoted plus statutory VAT valid at the time of the event 3/6 To: APV Antonia Herbert Congresses and Trade Fairs Tel: +49 (0) Fax: +49 (0) ah@apv-mainz.de Do not hesitate to contact us with any enquiries relating to booking a booth in the exhibition and/or if you would like to discuss your booking. Place and date Company stamp and signature of direct exhibitor
4 Application form Direct Exhibitor Attachment 1 Salutation Titel First name Last name Job Position Company Department Street Postel Code City Country Phone Full conference pass Exhibitor pass Place and date Company stamp and signature of direct exhibitor 4/6
5 Application form Direct Exhibitor Attachment 2 Please complete the field below only if you have ordered additional tickets according point 2 in this application form Salutation Titel First name Last name Job Position Company Department Street Postel Code City Country Full conference pass Exhibitor pass Place and date Company stamp and signature of direct exhibitor 5/6
6 Application form Direct Exhibitor Attachment 3 Information for website and exhibitor catalogue Please fill your company description (not more than 100 words) in the following form. It will be used for the exhibitor catalogue and for the website. The text should be in Arial 10-point bold. Kindly send us your logo in high resolution. Contact Name Address Phone: Fax: Website: 6/6
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