International Financial Centre Building d/h Barclay House 18th Floor

Jl. Jenderal Sudirman Kav 22-23 , Jakarta 12920

Telp. : 021-5711989, 021-5710840, 021-5710829
Fax. : 021-5711463
Email : peserta@aitis.co.id
Web : www.aitis.co.id

EXHIBITION PARTICIPATION FORM

APKASI INTERNATIONAL TRADE AND INVESTMENT SUMMIT 2015
We, the undersigned, herewith registered our institution to participate in:
APKASIINTERNATIONALTRADEANDINVESTMENTSUMMIT 2015
Name of Institution
: .......................................................................................................................................
Address of institution
: .......................................................................................................................................
....................................................................................................................................................
.........................................................................................................................................................
Phone/Fax/e-mail address
: ...............................................................................................................................................
Name of person in charge
: ...............................................................................................................................................
Position
: ...............................................................................................................................................
Booth Number(s)
: ...............................................................................................................................................
Payment

: Rp.

VAT:

Sum .................................................................................................................................................
...........................................................................................................................................
Rp.

Total Amount:

Sum ..................................................................................................................................................
..........................................................................................................................................
Rp.
Sum ..................................................................................................................................................
............................................................................................................................................

TERM OF PAYMENT:
At least seventy percent of the total exhibition charges as the first payment to be made not later than two weeks after
submission of Exhibition Participation Form.
The remaining payment should be received within two weeks prior to the exhibition date.
Participants are not allowed to cancel their participation at their sole discretion.
Cancellation of 1 month prior to the exhibition date to be charged in full amount, corresponding to the reservations
All payments to be transferred to the organizers account at Bank Bukopin, under PT PRO FAJARs account No.
101.711.5011
Transfer Receipt to be faxed to fax no; 021-5711463, 79198214, 7994152. No payment is considered as settled before
the receiving of the Transfer receipt.
........................................ 2015
PERSON IN CHARGES

SUPPERVISOR

______________________
Name:
Mobile Phone number:

_____________________________
Name :
Company chop and seal