Powered by: 25 - 26 November 2014 MiCo Milano Congressi IAB FORUM MILANO 2014 APPLICATION FORM Consisting of n. 4 pages (including this one) to be forwarded NO LATER THAN October 24th 2014 to the Organizing Secretariat, by fax nr. +39 02-36529430 or e-mail: [email protected] Please fill in the form in block letters and make sure the document is stamped and signed by the owner and / or the applicant’s legal representative APPLICANT COMPANY DATA COMPANY NAME IAB ITALIA MEMBER ADDRESS STREET NUMBER CITY/TOWN COUNTRY POSTAL CODE VAT N ° TAX CODE NAME OF HOLDER OR LEGAL REPRESENTATIVE CORPORATE CONTACTS FOR RELATIONS WITH THE ORGANIZATION LAND LINE MOBILE PHONE E-MAIL COMPANY NAME TO BE DISPLAYED ON EXHIBITORS' LIST, IN GRAPHICS AND EVENT COMMUNICATION INDUSTRY CATEGORY*: E-MAILING SEARCH ENGINE MEDIA BUYING AGENCY DIGITAL MARKETING MEDIA SOCIAL MARKETING CONSULTING E-COMMERCE MOBILE SOFTWARE COMMUNICATION PUBLISHING PERFORMANCE/ANALYTICS VIDEO ADVERTISING *Choose maximum 2 categories for search filter in the registration form BILLING DETAILS IF DIFFERENT FROM ABOVE MENTIONED COMPANY NAME IAB ITALIA MEMBER ADDRESS STREET NUMBER CITY / TOWN COUNTRY VAT N ° POSTAL CODE TELEPHONE FAX TAX CODE Please specify if you need YOUR purchase order to appear in the invoice Yes No COMPANY ADMINISTRATIVE CONTACT NAME TELEPHONE E-MAIL Organizing Secretariat IAB FORUM 2014 WOBI ITALY – HSM Italy Srl | Via Cerva 20, 20122 Milan - Italy | Tel. +39.0236529417 - Fax +39 0236529430 Powered by: 25 - 26 November 2014 MiCo Milano Congressi APPLICATION FORM (Prices are VAT excluded) 10% OFF FOR IAB ITALIA MEMBERS. VALID FOR APPLICATIONS RECEIVED WITHIN 30/04/2014 Following the examination of the documents received by the General Secretariat, we kindly ask to attend the event confirming the purchase of the following services. MAIN SPONSORSHIP PLATINUM SPONSOR € 20.000 PLATINUM SPONSORSHIP includes: - 2 DEM to the event database (partecipants and pre-registered online) - Visibility inside & outside the venue – priority and greater logo visibility in all communication. - Visibility in marketing campaign before and during the event - Visibility on the event website & in the App - 30 minutes Workshop - 2 Tables of 10 people each for VIP Lunch (on 25 or 26 November) GOLD SPONSORSHIP includes: - 2 DEM to the event database (partecipants and pre-registered online) - Visibility inside & outside the venue - Visibility in marketing campaign before and during the event - Visibility on the event website & in the App - 1 Table of 10 people for VIP Lunch (on 25 or 26 November) GOLD SPONSOR € 15.000 WORKSHOP 25 NOVEMBER 2014 26 NOVEMBER 2014 15:00 - 15:30 € 5.250 15:00 - 15:30 € 4.000 15:45 - 16:15 € 5.250 15:45 - 16:15 € 4.000 16:30 - 17:00 € 5.250 16:30 - 17:00 € 2.500 17:15 - 17:45 € 4.000 17:15 - 17:45 € 2.500 18:00 - 18:30 € 4.000 18:00 - 18:30 € 2.500 Whole session* (15:00 - 18:30) € 14.500 Whole session* (15:00 - 18:30) € 12.500 Preferred Theme _________________________________________________________________________________ Timing may change according to organizational needs. Each Workshop will be set up in theatre-style including speakers table for two people, stage, projector, screen, one table microphone and one hand held microphone.The theme chosen will be subject to final approval by the Organizer. For worskhop assignment, the Organizer will give priority to requests from IAB Italia members. * Possibility of customizing the room with own logo. Organizing Secretariat IAB FORUM 2014 WOBI ITALY – HSM Italy Srl | Via Cerva 20, 20122 Milan - Italy | Tel. +39.0236529417 - Fax +39 0236529430 Powered by: 25 - 26 November 2014 MiCo Milano Congressi SPACE WITHIN EXHIBITION AREA* Size M2 XS 9m m²2 € 525 € 4.725 S 12 m m²2 € 475 € 5.700 M 20 m m²2 € 400 € 8.000 L 40 m m²2 € 350 € 300 € 14.000 € 19.200 XL € / M2 2 64 m m² TOTAL SPACE PREFERENCES (please see exhibition area floorplan attached):________________________________________ FULLY FURNISHED STANDARD BOOTH € 200/m 2 FULLY FURNISHED PREMIUM BOOTH € 300/m 2 Please Indicate Space Preferences according to Exhibition area Layout attached. The Organizer reserves the right to make changes to the Exhibition layout according to logistical / organizational needs and to confirm the indicated preferences on the basis of availability and / or the chronological order of receipt of application forms. *Prices refer to raw area. Furnishing, Insurance and A/V Services are not included. If the Company chooses to use its own booth the project layout has to be previously sent for approval to the Organizer - at least 60 days prior to the event. NETWORKING OPPORTUNITY LUNCH VIP: Lunch Vip in Panorama Lounge (from 1pm to 2.30 pm) you can invite your top clients, prospect or managers. The price includes set up and catering (food and beverage). th 1 Table for maximum 10 people - 25 november 2014 th 1 Table for maximum 10 people - 26 november 2014 € 1.000 € 1.000 Other Opportunities ___________________________________________________ 10% OFF FOR IAB ITALIA MEMBERS. VALID FOR APPLICATIONS RECEIVED WITHIN 30/04/2014 TOTAL OPTIONS (V.A.T. EXCLUDED) € ______________ PRICE LIST - INVOICE AND PAYMENT CONDITIONS - PENALTIES The price of all services is the one stated on this document. Requested and purchased services will be billed by HSM ITALIA Srl in the following ways: • 30% deposit with payment by direct remittance • 70% balance payment within 30 days of the invoice date (and no later than 24th October 2014) Payments must be made by bank transfer in favour of HSM ITALIA Srl: Banca Intesa SanPaolo - Cod. IBAN IT 52 J030 6909 4001 0000 0104 346 / Cod. SWIFT BCITITMM Transfer provisions must include the following reason: IAB Forum 2014, name indicated by the applicant on this application form and the invoice number to which they refer. Organizing Secretariat IAB FORUM 2014 WOBI ITALY – HSM Italy Srl | Via Cerva 20, 20122 Milan - Italy | Tel. +39.0236529417 - Fax +39 0236529430 Powered by: 25 - 26 November 2014 MiCo Milano Congressi 1.- Terms and conditions of registration, payment and participation to IAB FORUM MILANO 2014. 1.1 Registration: To participate and subscribe to services indicated on this document for IAB FORUM MILANO 2014 event, which will be held in Milan on 25-26 November 2014, it is mandatory to fill in the registration form entirely, send it to HSM Italia Srl and pay the registration fee by the date specified. Any changes must be communicated to HSM Italia Srl within 45 days from the date of the event. 1.2 Confirmation: enrollment to the event will be confirmed by phone and/or e-mail using the data specified on the registration form. 1.3 Waiver: In the event of cancellations notified by 26 September 2014, the Organizer will have the right to request and/or withhold a penalty of 30% of the deposit. For cancellations received after that date, the penalty will be equal to 100% of the total due for the services required on the application form. Any intention to renounce participation must be communicated to HSM Italia Srl, Via Cerva n. 20, 20122 Milan, Italy. 1.4 Event schedule: HSM Italia Srl reserves the right to change the program of the event without notice. (Place) (Date) (Signature and Stamp of owner and/or legal representative) Under articles 1341 and 1342 of the Italian Civil Code, the following clauses are specifically approved: 1.1. (changes) 1.3 (“In case of cancellation notified by 26 September 2014, the Organizer will have the right to request and/or withhold a penalty of 30% of the deposit. For cancellations received after that date, the penalty will be equal to 100% of the total amount due for the services required on this application form. 1.4 (Modification program). (Place) (Date) (Signature and Stamp of owner and/or legal representative) PRIVACY POLICY FOR THE TREATMENT OF PERSONAL DATA WOBI ITALY - HSM Italy Srl based in Milan, Via Cerva n. 2, in his capacity as “data processor”, informs the Exhibitor that all information provided will be processed in accordance to Italian Law Legislative Decree no. 196 dated June 30th 2003, regarding the protection of personal data (Privacy Code), by the employee responsible for all contractual obligations and/or the operations of an administrative, accounting or tax advice, statistics (anonymously), promotional (official catalogue and information for the public and the press) and marketing and/or comply with legal obligations. For the same purposes and/or needs, the data of the Exhibitor will also be shared or sold to third parties. Data may be disclosed to the Exhibitor in charge of secretarial and/or marketing, in charge of the accounting and billing, and other officials for the management and maintenance of computer systems. By signing this application form, the Exhibitor authorizes the Organizer to use the data provided for these purposes. They are, in any case, entitled to the rights set-out in article no. 7 of Legislative Decree No. 196/2003 and, in particular, the right to access their personal information, request correction, updating or, when interested, integration and/or cancellation of it if incomplete, incorrect or collected in violation of the law; and to oppose their processing for legitimate reasons by submitting a request to the data controller at the e-mail address of the Organizing Secretariat: [email protected] (Place) (Date) (Signature and Stamp of owner and/or legal representative) Organizing Secretariat IAB FORUM 2014 WOBI ITALY – HSM Italy Srl | Via Cerva 20, 20122 Milan - Italy | Tel. +39.0236529417 - Fax +39 0236529430
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