form iigce exhibition_2015

..........................................., 2015 Participant, (Signature, Name & Company Stamp) Organizer, EXHIBITION APPLICATION & CONTRACT FORM Attention Booking Date Event Name Indonesia International Geothermal Convention and Exhibition (IIGCE) 2015 PERSON IN CHARGE DETAILS (WHO ARRANGE THE EXHIBITION SPACE) Company Name Full Company Mailing Address Country Zip Code Name of Approving Manager/Director Email Address BOOTH DETAILS Booth Number : Booth Size : .............................. m2 (............................. x .............................) Booth Type Standart Schell Scheme (using organizer’s contractor) Special Design (using own contractor) EXHIBITION BOOTH CHARGE DETAILS Company Name Address NPWP (Indonesia tax ID*) PLEASE ATTACH THIS FORM WITH SPPKP (SURAT PENGUKUHAN PENGUSAHA KENA PAJAK) Booth Area Main Lobby IDR 4,100,000/sqm x _____ m IDR USD 340/sqm x __________m USD Assembly Hall IDR 3,900,000/sqm x _____ m IDR USD 325/sqm x __________m USD Exclude VAT 10% PAYMENT Bank Transfer PT. FASEN CREATIVE QUALITY Bank Mandiri, KCP Jakarta Kemang Selatan USD Account : 126-00-0602405-2 IDR Account : 126-00-0602403-7 Swift Code : bmriidja PLEASE FILL THIS DATA FOR TAXATION PURPOSE Salutation Mr. Ms. Name Job Title Mobile Number Department Email Address Tel No. Fax No. COMPANY DETAILS ALL FIELDS ARE MANDATORY AND MUST BE COMPLETED IN BLOCK LETTER As participant of Indonesia International Geothermal Convention and Exhibition (IIGCE) 2015, we hereby agree to obey the following rules: a) Application and Contract Form should be returned to [email protected] within 3 (three) working days. Failure to comply will result in an automatic release of the booth space booking. b) The organizer will respond your email as our feedback. Exhibitor’s participation is valid after the FORM is signed by the person mentioned above and submitted to the organizer. c) Any type of signed form sent via email or fax has the same legal condition with the original document. d) Full payment (100%) shall be made not later than 1 (one) month after the invoice is issued; otherwise the booth will be re-sold/released to other parties. e) All received payment is non-refundable (including the 10% VAT). f) Cancellation requested by Participant shall be submitted to the organizer in writing, completed with appropriate reason. The following terms and conditions shall apply: • 60% cancellation penalty to any cancellation made prior to 17 July 2015. • 100% cancellation penalty to any cancellation made a fter 17 July 2015. g) In case of force majeure, which includes natural disaster, flood, earthquakes, hurricanes, fires, epidemics, rebellion, wars, riots, civil unrest, explosions, acts of terrorism, changes in laws and regulations and / or economic policy / monetary / unstable political situation that directly affect the execution of this agreement, any subsequent delay or failure of such shall not be regarded as the fault of the organizer, and thereby, the organizer shall be released from any liability due to the impending results where the obligations pertaining the event cannot be duly met. PT FASEN CREATIVE QUALITY (QUAD EVENT MANAGEMENT) Jl. Bangka Raya No. 98, Pela Mampang - Mampang Prapatan Kebayoran Baru - Jakarta Selatan 12720 Telp : +62 21 71792480 Fax : +62 21 7191422 Email : [email protected] PLEASE RETURN THE FORMS TO :

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..........................................., 2015Participant,

(Signature, Name & Company Stamp)

Organizer,

EXHIBITION APPLICATION & CONTRACT FORMAttention Booking DateEvent Name Indonesia International Geothermal Convention and Exhibition (IIGCE) 2015

PERSON IN CHARGE DETAILS (WHO ARRANGE THE EXHIBITION SPACE)

Company NameFull Company Mailing AddressCountry Zip CodeName of Approving Manager/Director Email Address

BOOTH DETAILSBooth Number : Booth Size : .............................. m2 (............................. x .............................)

Booth Type Standart Schell Scheme (using organizer’s contractor) Special Design (using own contractor)

EXHIBITION BOOTH CHARGE DETAILS

Company NameAddressNPWP (Indonesia tax ID*)

PLEASE ATTACH THIS FORM WITH SPPKP (SURAT PENGUKUHAN PENGUSAHA KENA PAJAK)

Booth Area Main Lobby IDR 4,100,000/sqm x _____ m IDRUSD 340/sqm x __________m USD

Assembly Hall IDR 3,900,000/sqm x _____ m IDRUSD 325/sqm x __________m USD

Exclude VAT 10%

PAYMENT

Bank Transfer PT. FASEN CREATIVE QUALITYBank Mandiri, KCP Jakarta Kemang SelatanUSD Account : 126-00-0602405-2IDR Account : 126-00-0602403-7Swift Code : bmriidja

PLEASE FILL THIS DATA FOR TAXATION PURPOSE

Salutation Mr. Ms.NameJob TitleMobile NumberDepartmentEmail AddressTel No.Fax No.

COMPANY DETAILS

ALL FIELDS ARE MANDATORY AND MUST BE COMPLETED IN BLOCK LETTER

As participant of Indonesia International Geothermal Convention and Exhibition (IIGCE) 2015, we hereby agree to obey the following rules: a) Application and Contract Form should be returned to [email protected] within 3 (three) working days. Failure to comply will result in an automatic release of the booth space booking.b) The organizer will respond your email as our feedback. Exhibitor’s participation is valid after the FORM is signed by the person mentioned above and submitted to the organizer. c) Any type of signed form sent via email or fax has the same legal condition with the original document. d) Full payment (100%) shall be made not later than 1 (one) month after the invoice is issued; otherwise the booth will be re-sold/released to other parties.e) All received payment is non-refundable (including the 10% VAT). f) Cancellation requested by Participant shall be submitted to the organizer in writing, completed with appropriate reason. The following terms and conditions shall apply: • 60%cancellationpenaltytoanycancellationmadepriorto17July2015. • 100%cancellationpenaltytoanycancellationmadeafter17July2015.g) In case of force majeure, which includes natural disaster, flood, earthquakes, hurricanes, fires, epidemics, rebellion, wars, riots, civil unrest, explosions, acts of terrorism, changes in laws and regulations and

/ or economic policy / monetary / unstable political situation that directly affect the execution of this agreement, any subsequent delay or failure of such shall not be regarded as the fault of the organizer, and thereby, the organizer shall be released from any liability due to the impending results where the obligations pertaining the event cannot be duly met.

PT FASEN CREATIVE QUALITY (QUAD EVENT MANAGEMENT)Jl. Bangka Raya No. 98, Pela Mampang - Mampang PrapatanKebayoran Baru - Jakarta Selatan 12720Telp : +62 21 71792480Fax : +62 21 7191422Email : [email protected]

PLEASE RETURN THE FORMS TO :

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