Untitled Document


	Exhibitors Registration Form

Company Name	:
Tax Number	:
Address	:
Phone	:
Fax	:
Email	:
Contact Name	:
Title / Position	:
Product / Service to be exhibited	:

Exhibition Space :

Hall Booth Number	: :
Bare Space	: sqm	US$
	10% VAT	US$
	Total Amount	US$

TERM OF PAYMENT
* 30% non refundable deposit of total amount should be paid within one week of the date of the signature of the registration contract. * 40% Term II should be paid on 01 February 2006. * 30% Balance payment of total amount should be paid on 01 March 2005. The payment can be submitted by cash or bank transfer to : PT. MEDIATAMA BINAKREASI BANK MANDIRI – Rawamangun (A/C: 006-0092704570) BCA – Pegambiran (A/C: 631-0036364) Transfer slip must be sent by fax no. (62-21) 489 3056, 475 7622

Cancellation
1. Down payment that has paid by participant could not pay back. 2. Cancellation on period up to 01 March 2006 will be charged 50% of total cost. 3. Cancellation more than 01 March 2006 will be charged 100% of total cost / full payment settlement.