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ON DISPLAY BOOTH – APPLICATION FORM

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ON DISPLAY BOOTH – APPLICATION FORM Powered By Docstoc
					                                 ON DISPLAY BOOTH – APPLICATION FORM
                     7th Australian Performing Arts Market, 27 February – 3 March 2006
I would like to book:
[      ]           OPTION A cost $1,800 + 10% GST = $1,980 – a 2x2m booth including 3 delegate registrations

[       ]            OPTION B cost $2,200 + 10% GST = $2,420 – a 2x2m booth including 4 delegate registrations

[       ]            OPTION C * cost $3,000 + 10% GST = $3,300 – a 3x2m wide booth including 6 delegate registrations

[       ]            OPTION D* cost $3,300 + 10% = $3,630 – a 4x2m wide booth including 6 delegate registrations

[       ]            More than one organisation will be represented in the above booth(s)
* cannot be confirmed immediately

Key contact person for the above booth:
Name (Mr / Ms / Mrs) _____________________________________________________________________________________

Job Title ___________________________________Company/organisation __________________________________________

Mailing address __________________________________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code) _________________________________________ Fax _________________________________________

Email ___________________________________________ Website ______________________________________________


Booth Name
My booth sign is to read:

 _______________________________________________________________________________________________________
(maximum of 20 letters including spaces)

Delegate names (up to 6, according to size of booth) as you would like them to appear on your ID pass and all associated Market
materials (must be provided by 14 January 2005):
Delegate 1. (Mr / Ms / Mrs) First Name _____________________ Last Name ______________________________________

Job Title ___________________________________Company/organisation __________________________________________

Mailing address (if different from above): ______________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code): _________________________________________ Fax: _________________________________________

Email: __________________________________________ Website: _____________________________________________

Delegate 2. (Mr / Ms / Mrs) First Name _____________________ Last Name _______________________________________

Job Title ___________________________________Company/organisation __________________________________________

Mailing address (if different from above): ______________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code): _________________________________________ Fax: _________________________________________

Email: __________________________________________ Website: _____________________________________________

Delegate 3. (Mr / Ms / Mrs) First Name _____________________ Last Name ______________________________________

Job Title ___________________________________Company/organisation __________________________________________

Mailing address (if different from above): ______________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code): _________________________________________ Fax: _________________________________________

Email: __________________________________________ Website: _____________________________________________

Delegate 4. (Mr / Ms / Mrs) First Name _____________________ Last Name ______________________________________
Job Title ___________________________________Company/organisation __________________________________________

Mailing address (if different from above): ______________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code): _________________________________________ Fax: _________________________________________

Email: __________________________________________ Website: _____________________________________________

Delegate 5. (Mr / Ms / Mrs) First Name _____________________ Last Name _______________________________________

Job Title ___________________________________Company/organisation __________________________________________

Mailing address (if different from above): ______________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code): _________________________________________ Fax: _________________________________________

Email: __________________________________________ Website: _____________________________________________
Delegate 6. (Mr / Ms / Mrs) First Name _____________________ Last Name _______________________________________

Job Title ___________________________________Company/organisation __________________________________________

Mailing address (if different from above): ______________________________________________________________________

___________________Country ________________________________ Zip code/post code _____________________________

Tel (incl area code): _________________________________________ Fax: _________________________________________

Email: __________________________________________ Website: _____________________________________________

Please email a maximum of 300words PER BOOTH (NB not per company at the booth) to apadmin@artsprojects.com.au upon
application. The 300 words should include a brief description of the company/companies, nature of business, areas of interest
etc. This information is for inclusion on the APAM web site and in the Market Guide should your application be accepted (can be
edited later, final deadline 14 January 2006).

Cancellation Policy
I note that cancellation must be made in writing by Friday 16 December 2005 and that unless the Event Manager is able to resell the
booth(s) there will be no refund paid. If full payment on the booth(s) is not received by Friday 4 November 2005 the Event Manager shall
have the right to cancel the allocated booth(s) and give to another organisation on the waiting list.

Signed: _______________________________________________ Print Name _____________________________
(for and on behalf of the exhibitor(s) listed above)

Date: _________________________________

Return completed form by 30 September 2005 to:

APAM
12 King William Road
Unley 5061 South Australia
Tel +61 8 8271 1488
Fax +61 8 8271 9905
Email apadmin@artsprojects.com.au

				
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