ORDER FORM S P O N S O R S H I P S E L E C T I O N SERVICES PROVIDED MAIN SPONSOR EXHIBITOR ONLY Maximum number of packages available 3 4 Industry exclusivity yes no Company logo on venue banners/ backdrop yes no Acknowledgement in opening speech yes yes Opportunity to speak 20-minutes product presentation no Display table (approx. 2 x 1 m.) in the foyer yes yes Display banners in the voyeur Max 3 max 2 Souvenir/doorprize for attendee yes yes Balikpapan 17 January 2014 Manado 07 February 2014 Jogjakarta 28 February 2014 Padang 11 April 2014 Bandung 09 May 2014 Semarang 27 June 2014 Surabaya 15 Agustus 2014 Denpasar 05 September 2014 Medan 26 September 2014 Batam 17 October 2014 Makassar 07 November 2014 Pontianak 28 November 2014 Palembang 19 December 2014 10% Total Amount : v.a.t 10% : Nett + vat : Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp25,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) Rp15,000,000.00 (exc vat) 10% * tentative date Sponsor details Payment Details : Name : Position : Company : Addreess One hundred Percent (100 %) payment : : should be made before event date Product Line / Brand : By signing this form, I understand any cancelation Telephone : will incur 100% payment from the total order value Fax : Email : Sign : company stamp I am paying by telegraphic transfer to PT. BCI Asia Bank International Indonesia Account No. 2-066-611854 Bank Central Asia Account no. 255-302-6008 By signing this form, I agree to the terms and conditions of Interchange Session 2014 Series as shown in this order form Phone: +62 21 5790 2930 Fax: +62 21 5790 2933 Email: [email protected] Manggala Wanabaki Building 8th Floor #804 A Jalan Jend Gatot Subroto, Jakarta Pasat Indonesia 10270
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