booking

							Please complete this form (both pages) and fax/email it back to Helen
Lycett +44 (0)207 299 6633 no later than 19 December 2011

01 Product details       Area                                   Euro €                 Package A and B include:

                                                                                       1 x free Delegate registration
Package A:               A1 4m2 (2m x 2m)                       2,200
                                                                                       1 x Exhibitor only registration
floor space only
                                                                                       Welcome Reception, Gala Dinner, lunch
                         A2 6m2 (3m x 2m)                       2,700
                                                                                       Listing on web site
                                                                                       Listing in Exhibition catalogue and
                         A3 8m2 (4m x 2m)                       3,200                  programme
                                                                                       Standard Power supply (220V, triple outlet)
Package B:               B1 4m2 (2m x 2m)                       3,100
shell scheme + space                                                                   In addition Package B includes:
                         B2 6m2 (3m x 2m)                       3,800
                                                                                       Shell, SYSTEM MODUL, white, height 2.5m
                                                                                       delivery, set up and dismantling of stand
                         B3 4m2 (2m x 2m)                       4,500
                                                                                       signage, company name in standard font,
                                                                                       conductive lighting rail with 3 spotlights,
Additional Exhibitor only registrations                           250                  table, 2 x chairs, waste paper bin


02 Exhibition Contact                                                                  If you have special requirements for
                                                                                       catering/hospitality or require additional
                                                                                       items of equipment for your booth please
Title:                                      Name:                                      contact us for details.
Job title:
Department:
Company:
Address:
                                                                                       EuroBrake Exhibition Contacts

County / State:                                                                        Germany (for technical questions)
Post code / Zip code:                       Country:                                   Ludwig Vollrath
Telephone:                                  Facsimile:                                 Tel: +49 211 6214 445
                                                                                       exhibition@eurobrake.net
Email:

                                                                                       United Kingdom (for billing questions)
Please note that all details must be completed for your order to be processed.
                                                                                       Helen Lycett
                                                                                       Tel: +44 207 299 6636
                                                                                       h.lycett@eurobrake.net


03 Payment details                                                                     Please note: Payment must be made by
                                                                                       bank transfers payable to FISITA (UK) Ltd.
     I will pay upon receipt of a proforma invoice. I recognise full payment must be   Full payment details will be on your invoice.
     received by 27 January 2012.
If the invoice needs to be sent to a different address, please indicate here:          Please allow a minimum of seven working
                                                                                       days for a bank transfer to reach us and
Title:                                      Name:                                      email or fax us when it has been sent.
                                                                                       Remember to include the company name to
Job title:
                                                                                       which it relates.
Department:
Company:
                                                                                       If a PO number or reference needs to be
Address:                                                                               quoted on the invoice, please enter it
County / State:                                                                        here:
Post code / Zip code:                       Country:
Telephone:                                  Facsimile:
Email:


04 Authorisation
                                                                                       Please note prices are exclusive of VAT.
   I wish to purchase the product as detailed in section 1 and agree to FISITA
   (UK) Ltd’s terms and conditions and licence agreement (full details in              German VAT will be charged where
   attached document).                                                                 applicable.

Name:
Position:

Signature:



Date:
Please complete this form (both pages) and fax/email it back to Helen
Lycett +44 (0)207 299 6633 no later than 19 December 2011

Company name:                                                                        Package A and B include:

                                                                                     1 x free Delegate registration
Please use the space below to describe the products, technologies and/or
                                                                                     1 x Exhibitor only registration
services you will be exhibiting
                                                                                     Welcome Reception, Gala Dinner, lunch
                                                                                     Lsting on web site
                                                                                     Listing in Exhibition catalogue and
                                                                                     programme
                                                                                     Standard Power supply (220V, triple outlet)

                                                                                     In addition Package B includes:

                                                                                     Shell, SYSTEM MODUL, white, height 2.5m
                                                                                     delivery, set up and dismantling of stand
                                                                                     signage, company name in standard font,
                                                                                     conductive lighting rail with 3 spotlights
                                                                                     table, 2 x chairs, waste paper bin




                                                                                     If you have special requirements for
                                                                                     catering/hospitality or require additional
Additional equipment required                                                        items of equipment for your booth please
                                                                                     contact us with your request.
Quantity   Description                                                  Euro €

           17” TFT-Monitor with PC, Keyboard, Mouse                         315,00

           17” TFT-Monitor without PC                                       165,00   Please note the hire of equipment does
                                                                                     not entitle the user to ownership. Set-up,
           40” Monitor inc. stand                                           675,00   dismantling, transport and installation are
                                                                                     included.
           Bar Stool, chrome/black                                           22,00
                                                                                     All technology provided is new.
           Brochure rack, 3 x A4                                             35,00

           Brochure rack, 3 x A4                                             45,00   It is your responsibility to insure the
                                                                                     equipment whilst in use by your company.
           Chair, upholstered without armrest                                28,00   Liability in case of damage (fire, theft,
                                                                                     improper treatment) is without reservation
           Coat rack, 4 hooks, white                                         20,00   the responsibility of the exhibitor.

           Flipchart                                                         45,00   EuroBrake Exhibition Contacts

           Laptop with kensington lock                                      275,00
                                                                                     Germany (for technical questions)
           Plant in ornamental pot (approx.1.50m high)                       50,00   Ludwig Vollrath
                                                                                     Tel: +49 211 6214 445
           Sideboard, 100 x 40 x 80cm, lockable                              65,00   exhibition@eurobrake.net

           Standard information counter, 110 x 60 x 105cm                    85,00   United Kingdom (for billing questions)
                                                                                     Helen Lycett
           Standard long-arm spotlight                                       20,00   Tel: +44 207 299 6636
                                                                                     h.lycett@eurobrake.net
           Standing (Bar) table, diameter 60cm                               30,00

           Standing computer station, lockable with 5 storage shelves        75,00
                                                                                     Requests for additional equipment can be
           Showcase, 100 x 50 x 100cm                                       150,00   made up to 31 March 2012

           Showcase, 50 x 50 x 200cm                                        220,00

           Table, round, diameter 70cm                                       35,00   WLAN is provided at ICD by T-mobile (costs
                                                                                     apply). Internet and high voltage power
           Table glass, round, height 35cm                                   45,00   connections are also available by prior
                                                                                     arrangement.

Total