AXAA 2005 SPONSORSHIP APPLICATION FORM Company/organisation_________________________________________________________________________________ Contact name________________________________________________________________________________________ Address____________________________________________________________________________________________ Telephone:____________________Facsimile:___________________Email:______________________________________ Website____________________________________________________________________________________________ Sponsorship package preferences I/we would like to take up the following sponsorship package/s: 1st Preference_____________________________________________ Total Cost ________________________________ 2nd Preference_____________________________________________ Total Cost ________________________________ 3rd Preference_____________________________________________ Total Cost ________________________________ I/we understand that the sponsorship packages will be strictly in order of receipt of application form and deposit. Cancellation In the event of withdrawal of sponsorship, please be advised that unless that particular area of sponsorship is resold the organisers will reserve the right to retain the deposit received. We accept the terms and conditions as outlined in this Sponsorship Proposal and hereby enclose our payment for $_______ Signed__________________________________________________________Date_______________________________ Name (please print)___________________________________________________________________________________ Deposit: 50% attached Balance deadline: 19 November 2004 􀂆 Cheque 􀂆 Bankcard 􀂆 Mastercard 􀂆 Visa 􀂆 AMEX Cardholder Name: _________________________________________________________________________________________ Card Number: 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 Expiry Date: _____/_______ Signature of cardholder:______________________________________________________________ Or Please forward cheque in Australian Dollars payable to Tulips/AXAA 2005 and forward, along with this completed form to: Tulips Meetings Management PO Box 116, Salamander Bay, NSW, 2317, Australia (ABN: 32 003 901 657) Please send a copy of this completed form to: AXAA National Conference 2005 Conference Manager, Tulips Meetings Management, PO Box 116, Salamander Bay, NSW, 2317 Australia or Fax: (02) 4984 2755 E mail: axaa@pco.com.au Exhibition AXAA invites you to exhibit your products and services at the Australian X-ray Analytical Association’s National Conference 2005. Exhibition space is shown in the floor plan. It is anticipated that the exhibition will be open from 7:45am on Monday 14 February 2005 until 3:00pm on 18 February 2005. Set up is anticipated to be from 2:00pm on Sunday 13 February 2005 and dismantling time is 3.00pm on Friday 18 February 2005. Shell scheme stand details are; Booth size 3 metre x 3 metre booth 2.4 metres high Company name on fascia Two 150 watt spotlights per 9.0 metres Two x 10 Amp PowerPoint per 9.0 metres The exhibition space rental (9.0 metres) also includes; • Exhibitor listing in Conference folders/manuals All exhibitors should register by completing the registration form and paying the registration fee. Cost: AUD $2,750.00 Application Form To confirm your booking please complete the attached form and return it together with full payment as soon as possible. Booths will be allocated strictly on receipt of payment. Further technical details will be forwarded in your exhibition manual. For further information and assistance, please contact Jane Yeaman on (02) 4984 2554. AXAA 2005 EXHIBITION BOOTH REQUEST FORM Company/organization:________________________________________________________________________________ Contact name:_______________________________________________________________________________________ Address:____________________________________________________________________________________________ Telephone:____________________Facsimile:___________________Email:______________________________________ Website:____________________________________________________________________________________________ Signed:___________________________________________________Date: _____________________________________ PLEASE RESERVE THE FOLLOWING BOOTH (S) @$2,750.00 PER BOOTH: 1st Choice 2nd Choice 3rd Choice Total number of booths required Amount enclosed 􀂆 Cheque 􀂆 Bankcard 􀂆 Mastercard 􀂆 Visa 􀂆 AMEX Cardholder Name: Card Number: 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 􀀀 Expiry Date: _____/_______ Signature of cardholder:_____________________________ Or Please forward cheque for the full amount, in Australian Dollars, payable to Tulips/AXAA 2005 and forward, along with this completed form to: Tulips Meetings Management PO Box 116, Salamander Bay, NSW, 2317, Australia (ABN: 32 003 901 657) Terms and Conditions: Full payment must accompany your completed form. Cheques should be made payable to AXAA National Conference 2005. In the event of a cancellation, a $550.00 fee will apply to booths cancelled prior to 13 August 2004. After this date no refunds will be made unless space is resold, and in this event, a service fee of $550.00 will apply. Any booth not claimed and occupied by 8:00am on the 14 February 2005 will be reassigned without refund. The exhibition organisers reserve the right to rearrange the floor-plan if necessary. *Discounts are not available if shell scheme facilities are not required. Only some booth positions are available in this format, please contact the Exhibition manager for more details. Please send a copy of this completed form to: AXAA National Conference 2005 Exhibition Manager, Tulips Meetings Management, PO Box 116, Salamander Bay, NSW, 2317 Tel: (02) 4984 2554 Fax: (02) 4984 2755 E mail: axaa@pco.com.au Important Dates Deadline for early-bird registration fee...................................................... 19 November 2004 Circulation of technical information to exhibitors.......................................26 November 2004 Deadline for sponsorship to be acknowledged in the final program....... 10 December 2004 Deadline for booking exhibition space (SUBJECT TO AVAILABILITY)..... 14 January 2005 Setting up exhibition...................................................................... 2:00pm, 13 February 2005 The conference dates...........................................................................14 – 18 February 2005 Exhibition opening dates......................................................................14 – 18 February 2005 Dismantling of the exhibition......................................................... 3:00pm, 18 February 2005