The Organizing Committee of the Third International Conference ...
The Organizing Committee of the Third International Conference ...
The Organizing Committee of the Third International Conference ...
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fax number: +48 (61) 662 16 65<br />
e-mail biuro@bokiz.pl<br />
Company Name:……………………………………………………………………………………………………………………………………………………………………………………………………<br />
Company Address: …………………………………………………………………………………………………………………………………………………………………………………………………<br />
E-mail address: …………………………………………………………………<br />
Telephone number: ……………………………………………<br />
Tax number:………………………………………………………………………<br />
Name and surname <strong>of</strong> <strong>the</strong> company’s conference representative:……………………………………………………………………………………………………………………<br />
Telephone number (mobile):………………………………………………………………<br />
E-mail address:……………………………………………………<br />
Correspondence address (if o<strong>the</strong>r than <strong>the</strong> company address):…………………………………………………………………………………………………………………………<br />
We are applying for:<br />
Title: Strategic partner<br />
Satellite session (90 min., during <strong>the</strong> first day)<br />
10 sq meters <strong>of</strong> preferential exhibition area including <strong>the</strong> following equipment:<br />
1 table, 2 chairs, switch board - 3 x one-phase circuit<br />
This fee will also cover: 3 Id badges, lunch during <strong>the</strong> <strong>Conference</strong>, 3 invitations for <strong>the</strong><br />
Social event and one conference material’s pack<br />
Advertisments printed within <strong>the</strong> program (and o<strong>the</strong>r conference materials)<br />
Company logo on <strong>the</strong> website, on <strong>the</strong> <strong>of</strong>ficial programme, etc (better exposed, at least<br />
200% <strong>of</strong> <strong>the</strong> o<strong>the</strong>r’s Partners logo surface)<br />
Inserting advertising materials inside <strong>the</strong> conference packs.<br />
Placing a free standing advertisment – roll-up<br />
within <strong>the</strong> conference premises (outside <strong>of</strong> <strong>the</strong> exhibition area).<br />
Title: Main Partner<br />
Satellite session (60 min.)<br />
5 sq meters exhibition area including <strong>the</strong> following equipment:<br />
1 table, 2 chairs, switch board - 3 x one-phase circuit<br />
This fee will also cover: 2 Id badges, lunch during <strong>the</strong> <strong>Conference</strong>, two invitations for <strong>the</strong><br />
social event and one conference material’s pack.<br />
(Representatives are not permitted into <strong>the</strong> lecture room)<br />
Company logo on <strong>the</strong> website, on <strong>the</strong> <strong>of</strong>ficial programme<br />
Placing advertising materials inside <strong>the</strong> conference packs.<br />
Placing a free standing advertisment – roll-up<br />
within <strong>the</strong> conference premises (outside <strong>of</strong> <strong>the</strong> exhibition area).<br />
Title: Partner<br />
5 sq meters exhibition area including <strong>the</strong> following equipment:<br />
1 table, 2 chairs, switch board - 3 x one-phase circuit<br />
This fee will also cover: 2 Id badges, lunch during <strong>the</strong> <strong>Conference</strong>, two invitation for <strong>the</strong><br />
social event and one conference material’s pack.<br />
Company logo on <strong>the</strong> web site, on <strong>the</strong> <strong>of</strong>ficial programme<br />
Miscellaneous Options (please check <strong>the</strong> availability first)<br />
Additional exhibition area<br />
An additional Id badge for <strong>the</strong> company representative, including lunch during <strong>the</strong><br />
<strong>Conference</strong> and an invitation for <strong>the</strong> Gala dinner.<br />
(Representatives are not permitted into <strong>the</strong> lecture room)<br />
O<strong>the</strong>r (consulted with <strong>the</strong> Organising <strong>Committee</strong>)<br />
yes/no<br />
yes/no<br />
yes/no<br />
No. <strong>of</strong> m 2 200<br />
Quantity<br />
20000 €*<br />
15000 €*<br />
10000 €*<br />
€* per 1m²<br />
200 €* per 1<br />
total net price<br />
…………………………€<br />
* - net prices (22% VAT)<br />
<strong>The</strong> TOTAL fee <strong>of</strong> ………………………€ net (+23% VAT) will be transferred to:<br />
Nordea Bank Polska S.A., (PL) 56 1440 1286 0000 0000 0214 2988 (swift: NDEAPLP 2)<br />
Adding a note: „ACN2012”<br />
Applications can be cancelled through fax until 31.01.2012. After this deadline all cancellations will obligate for a payment.<br />
We confirm that we have read all <strong>of</strong> <strong>the</strong> conference participation terms and conditions and that we will issue an according payment.<br />
We confirm that we will deliver <strong>the</strong> full and final list <strong>of</strong> <strong>the</strong> company representatives before 31.05.2012.<br />
Any arguments which may result from this application will be resolved according to <strong>the</strong> Polish law by <strong>the</strong> court appropriate for <strong>the</strong> mandatory party.<br />
Any personal information may be used for statistical purposes only, by <strong>the</strong> Fundacja Uniwersytetu Medycznego im. Karola Marcinkowskiego Poznan<br />
(according to <strong>the</strong> Personal Data Protection Act from <strong>the</strong> 29th Aug 1997; Dz. U Nr 133 poz. 883), which we (<strong>the</strong> applying company) do accept.<br />
Main Accountant Stamp Company Director/Chairman