07103Info. Kit.qxp

SUCCESS
Research
e CLINICAL
TEAM
POWER
Data
Management
T HE P O W E R
OF T H E
CLINICAL TEAM
• 17th Annual European Clinical Data Management Conference
• 3rd Annual European eClinical Conference
• 2nd Annual European Clinical Research Conference
OCTOBER 14-17, 2007 | AUDITORIUM MADRID
HOTEL, SPAIN
EXHIBITOR’S
INFORMATION
KIT
EXHIBITOR REGISTRATION FORM
DIA Clinical Forum 2007 Conferences
• 17th Annual Clinical Data Management
• 3rd Annual eClinical • 2nd Annual Clinical Research
October 14-17, 2007 - Auditorium Madrid Hotel, Madrid, Spain
Meeting ID #07103
NOTE: Online registration is not available for exhibitors.
Each 3 x 3 meter space includes one complimentary full meeting registration and two complimentary registrations for booth personnel.
Please complete a separate form for each exhibitor registrant by October 4, 2007.
To expedite your registration, please check the appropriate category: COMPLIMENTARY FULL-DAY REGISTRATION
EXHIBIT BOOTH PERSONNEL
Prof.
Dr.
Ms.
Mr.
Last Name
Company
Company
First Name & Middle Initial
Job Title
Street Address / P.O. Box
Postal Code
City
Country
Telephone
Telefax
E-Mail
In case of emergency, name and telephone of person to contact
PLEASE NOTE: T HIS
PAGE MUST BE COMPLETED AND SUBMITTED FOR EACH PERSON ATTENDING ANY PORTION OF THIS EVENT .
Not Applicable
1. Meeting Registration Fee
2. Parellel Tutorials (1, 2) Monday, October 15, 2007, 9-12 AM:
Monday, October 15, 2007, 6-21 PM:
Networking Dinner
Optional
Fee: EUR
65.00
Fee: EUR 300.00
7% VAT:
7% VAT:
21.00
4.55
Fee: EUR 321.00
Fee: EUR 69.55
Please indicate if you wish to attend by checking the box.
Please indicate the tutorial number ______
Total amount remittance: EUR____________________
Payment Methods
Cheques should be made payable to: Drug Information Association. Mail your cheque together with this form to facilitate identification to:
DIA, Postfach, 4002 Basel, Switzerland.
Bank transfers should be made in EUR to following bank:
UBS, Postfach, 4002 Basel, Switzerland - DIA Account Number: 233-635384.60C - SWIFT: UBSWCHZH80A
Your name and company must be included on the transfer document to ensure payment to your account.
Credit card - Credit card payments by VISA, Mastercard or AMEX can be made by completing the relevant details hereunder. Please note that
other types of credit card cannot be accepted.
Visa
MC
AMEX
Card Number
Exp.date
Cardholder’s Name
Date:
Cardholder’s Signature:
Cancellation Policy
TUTORIAL CANCELLATION
All tutorial registrants = EUR 50.00 will be deducted from paid fee
PLEASE FAX THIS FORM TO +41 61 225 51 52
EXHIBITION ACTIVITIES & SCHEDULE
Sunday
October 14
Exhibitor Set-Up
11:00 - 18:00
Monday
October 15
Exhibitor Set-Up
Exhibition Hours
07:30 - 11:00
12:00 - 18:00
Networking Dinner
18:30 - 21:00
Exhibition Hours
10:30 - 17:30
Free Exhibition Hours
(Visitors must pick up a
temporary pass at the
registration desk)
14:00 - 15:30
Networking Reception
(17:30-18:30)
Exhibition Hours
10:00 - 16:00
Exhibitor Tear-Down
All materials must be
removed from the exhibition
area on Wednesday evening
or clearly marked for pick up
by a transport company.
16:00 – 18:00
*There will be no
early tear-down
permitted
Tuesday
Wednesday
Exhibition Agent Contact:
DIA Contact
October 16
October 17
Name:
Address:
Rafael L. Rodríguez González
Integrated Marketing Services
Avda de. Las Nieves 37
Portal 1, Esc. A 1° A
P. Ind Las Nieve 28932
Mosteles, Madrid
Tel.:
Fax:
Email:
+34 91 665 82 40
+34 91 665 94 61
rafael@xpand.es
Name:
Address:
Phyllis Suter
DIA European Branch Office
Postfach, 4002 Basel
Switzerland
Tel:
Fax:
Email:
+41 61 225 51 54
+41 61 225 51 55
phyllis.suter@diaeurope.org
Important Information
Workshop Registration
All exhibiting companies receive one full meeting registration per 3m x 3m booth and up to two (2) additional badges for booth personnel. The exhibitors’ registration forms provided should be completed and
faxed to the attention of Phyllis Suter by October 4, 2007. Booth personnel badges do not allow entry to
the scientific sessions. All exhibitors and booth personnel must register and pick up their badges at the
onsite registration desk.
Stand Design
All exhibits must be free standing and self-supporting. The ceiling height of the pre-fitted shell scheme is
3.00 metres.
Maximum Height 3.00 m
All exhibitors should submit unusual stand designs and/or materials, or stands exceeding the maximum
height restrictions, to the DIA for approval prior to construction. Onsite modifications are costly and time
consuming, but will be required - at the exhibitor’s expense - should the stands not conform to the exhibition rules.
Sign
All exhibiting companies are entitled to a 15 character sign on the front of the modular stand.
Electrical Installation
All modular stands have 1 spotlight per square meter and 1 main connection of 220 V/10A. Exhibitors
who require additional main connections or more than 1Kw should order through our official agent.
Electrical Equipment and Audio-Visual
The Agent Xpand has an extensive selection of electrical and audio-visual equipment. If you require special equipment not listed on the form please contact Rafael L. Rodríguez González of the exhibitions
department directly.
Furniture and Floral Service
All additional furniture can be ordered through Xpand preferably before October 2, 2007. For more information please contact our agent directly. E-mail: rafael@xpand.es
Floors/Carpet
The floor of the modular stand is covered with a standard blue carpet; maximum floor load is 600
kg/m2. Different colours will be available on request at an extra cost.
Loading/Unloading
For loading/unloading of your material and equipment please use the Auditorium Madrid Hotel loading
bay, accessible at the front of the hotel. The dimensions for the maximum height restrictions are 2.20 m
at the loading bay doors into the Foyer. Parking is not permitted at the loading bay for longer than is
required to load/unload the vehicle.
Parking
The Auditorium Madrid Hotel, Madrid, Spain allows access for loading and unloading, after which vehicles
should be removed off-site.
Rebeca Navas
Auditorium Madrid Hotel
Tel: +34 91 400 44 55
Fax: +34 91 400 44 59
Email: rebeca.navas@hotelauditorium.com
Exhibitor Information Kiosk
Companies wishing to distribute brochures or other company information
outside of their booths must purchase a compartment on the Exhibitor
Information Kiosk. The cost for one space is EUR 200.00. Each company
will be responsible for making sure their compartment is refilled daily and for
picking up any remaining materials at the end of the exhibition. Any
materials not retrieved prior to teardown will be discarded. The standard size
of the kiosk compartment is A4. Please complete the form and fax to +41 61
225 51 55.
Company Name:
Contact Person:
Company Address:
City:
Postal Code:
Country
Email Address:
Number of Kiosks:
Total Amount: EUR
Please indicate the method of PAYMENT:
Cheques should be made payable to: Drug Information Association
and mailed together with a copy of this form to facilitate identification to:
DIA, Postfach, 4002 Basel, Switzerland.
Bank transfers in EURO: UBS, Postfach, 4002 Basel, Switzerland. DIA
Account Number: 233-635384.60C. IBAN: CH96 0023 3233 6353 8460 C
Swift Code: UBSWCHZH80A. Your name and company must be included on
the transfer document to ensure payment to your account.
Credit card payments can be made by Visa, MasterCard or American
Express
VISA
Card Number:
Cardholder’s Name:
MC
AMEX
Exp. Date:
Cardholder’s Signature:
Shipping and Customs Agent
Please note that the Auditorium Madrid Hotel, Madrid does not sign for reception of any goods and
does not pay any custom duties on behalf of the exhibiting companies. Therefore we do recommend
you to contact our Shipping/Customs Agency in case you need one of these services.
Eagle Global Logistics S.L
Paercela 2.4
Naves 3-5
28042 Madrid
Tel. +34 91 329 5750
Fax +34 91 329 3871
Exhibitors are responsible to insure that all custom requirements are fulfilled. The Eagle Global Logistics
S.L will not pay custom duties on behalf of exhibitors. For full information about custom requirements
please contact Ms. Loles Artola at email: loles.artola@eaglegl.com or Mr. Césor.pozuelo@eaglegl.com
Storage Instructions
If you need storage facilities for one day please contact our agent at the hotel:
Rebeca Navas
Auditorium Madrid Hotel
Tel: +34 91 400 44 55
Fax: +34 91 400 44 59
Email: rebeca.navas@hotelauditorium.com
Catering
Coffee breaks, lunches and receptions are included in the registration fee. However, an additional fee
will be charged for the social event.
Food and Beverage can be served from your stand in compliance with the DIA Exhibitors Booklet. All
items must be purchased through the official caterer at the Auditorium Madrid Hotel, Madrid. For quotations & orders please contact:
Rebeca Navas
Tel: +34 91 400 44 55
Fax: ++34 91 400 44 59
Email: rebeca.navas@hotelauditorium.com
Promotional Mailing
Participant information will not be available before the commencement of the meeting. Exhibiting companies wishing to distribute their promotional literature to the attendees in advance must coordinate
through the DIA office. A sample of the mailing must be sent to the DIA office in advance for approval.
DIA will send your promotional literature to registered attendees on your behalf. If you are interested in
taking advantage of this unique service, please complete the attached form or contact Phyllis Suter.
Information Promotional Mailing
DIA Clinical Forum 2007 Conferences
• 17th Annual Clinical Data Management
• 3rd Annual eClinical • 2nd Annual Clinical Research
October 14-17, 2007 - Auditorium Madrid Hotel, Madrid, Spain
Meeting ID #07103
Dear Exhibitor,
Thank you once again for exhibiting with DIA at the “The DIA Clinical Forum in 2007” at the Auditorium Madrid Hotel, Madrid, Spain from October
14-17, 2007.
For your further information please note the following details:
• Exhibitors are to provide literature inserted in sealed envelopes to the DIA European Branch Office.
• All mailings should be no larger than the standard DIN C5 or DIN C4 or equivalent. Any exceptions in size or style of envelope (i.e. colour, label
placement, design) must be approved in advance and will be charged an additional fee.
• The sealed envelopes will be addressed and mailed from our mailing house. The cost of EUR 350.00 for the mailing must be paid upon delivery of
the literature, the postage must be paid upon receipt of our invoice. No remaining material will be returned to the exhibiting company after mailing
has been completed.
Deadlines
19.09.2007
Promotional mailing booking deadline
25.09.2007
300 copies of brochure inserted in sealed envelopes* received in Basel
28.09.2007
Mailing dispatched from Basel
* Envelopes must not be larger than DIN C5 (162x229mm) or DIN C4 (324x229mm) or equivalent.
Costs
Standard fee for the mailing is EUR 350.00, payable by cheque (to Drug Information Association) or by VISA, MasterCard or AMEX (please advise card
number and expiry date) upon delivery of literature.
The standard fee is exclusive of the cost of mailing. The priority mail postage cost are payable upon receipt of our invoice.
Please note that a sample of the mailing must be sent to the DIA office for approval in advance. You can send it by fax to +41 61 225 51 52 or email to:
phyllis.suter@diaeurope.org or send it by mail to DIA, Elisabethenanlage 11, Postfach, 4002 Basel, Switzerland.
Should you have any additional questions regarding the promotional mailing, please feel free to contact me.
Kindest regards,
Phyllis Suter
Booking & Payment
Exhibiting Company:
Contact Person:
Tel. No.:
Fax No.:
E-mail:
Cheques should be made payable to: Drug Information Association. Mail your cheque together with the registration form to facilitate
identification of attendee to: DIA, Elisabethenanlage 11, Postfach, 4002 Basel, Switzerland.
Bank transfers should be made in EUR to following bank:
UBS, Postfach, 4002 Basel, Switzerland - DIA Account Number: 233-635384.60C - SWIFT: UBSWCHZH80A
Your name and company must be included on the transfer document to ensure payment to your account.
Credit card payments by VISA, Mastercard or AMEX can be made by completing the relevant details below. Please note
that other types of credit card cannot be accepted.
Visa
MC
AMEX
Card Number
Exp.date
Cardholder’s Name
Date:
Cardholder’s Signature:
“THE CHANGING WORLD
OCTOBER 14-17, 2007
EXHIBITOR
OF
CLINICAL TRIALS”
AUDITORIUM MADRID HOTEL, MADRID, SPAIN
SPONSORED HOSPITALITY EVENTS
EXHIBITING COMPANY
CONTACT PERSON
ADDRESS
TELEPHONE
FAX
EMAIL
NAME
OF
VENUE
FOR PARTY
OR HOSPITALITY SUITE
CONTACT NAME
OF PERSON PLANNING EVENT
TELEPHONE
FAX
DATE
OF EVENT
TIME
APPROXIMATE
NUMBER OF ATTENDEES
Please do not plan an event during any DIA meeting sessions, scheduled exhibit hours or social events. Please refer
to the programme for this information. Once your request is approved, please deal directly with your contact at the
venue. DIA will not plan your event for you.
Approval from DIA
DIA Exhibits Associate
FAX: +41 61 225 51 52
SERVICE MANUAL:
ADDITIONAL FURNITURE,
FLORIST SERVICES AND
TECHNOLOGY.
October 14-17, 2007,
Madrid, Spain
Exhibitor
Information
Kit
DIA Clinical Forum 2007.
Auditorium Hotel, Madrid
SERVICE MANUAL IMPORTANT DATES
1ST OCTOBER.
LAST DAY TO ORDER EQUIPMENT
14TH OCTOBER.
SETUP
15TH -16TH -17TH
OCTOBER.
17TH OCTOBER.
EXHIBITION DATES
DISMANTLING
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40 · Fax: +34 91 665 94 61· www.xpand.es
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
Quick Facts
SERVICE CONTRACTOR CONTACT:
XPAND
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves C.P. 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
Office Hours: From 09:00 to 14:00 and From 15:00 to 18:00 (GMT+1)
e-mail: orders@xpand.es
Mr. Rafael L. Rodríguez
rafael@xpand.es
Miss Inmaculada Jiménez
inmaculada@xpand.es
Shipping / Storage
Eagle Global Logistic S.L.
Parcela 2.4 - Naves 3 - 5 28042 Madrid
Tflno : 00 34 91 329 57 50
FAX : 00 34 91 329 38 71
Mobil : 00 34 607 53 97 50
Contact Person :
Miss. Loles Artola
e-mail : loles.artola@eaglegl.com
Mr. César Pozuelo
e-mail : cesar.pozuelo@eaglegl.com
Exhibitors contract Eagle Global Logistic services directly.
Any issues, damages, losses, delayed or anything could happend to
the goods are not Xpand Integrated Marketing Services S.L responsability.
For more information, services and payment conditions,
please contact directly to Eagle Global Logistic S.L.
1
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
AU D I OV I S UA L S A N D A DS L L I N ES
AUDIOVISUALS
DETAILS
STANDARD
PRICE
AU1
DVD
114,94 €
AU2
PLASMA 42”
808,97 €
AU3
PLASMA 50”
1122,41 €
AU4
LAPTOP P-IV
540,31 €
AU5
BASIC SOUND SYSTEM (2 SPEAKERS + MICRO)
530,52 €
Catalogue
REFERENCE
ADSL LINES (Prices per line)
REFERENCE
DETAILS
STANDARD
PRICE
AD1
2MG
585,07 €
AD2
4MG
649,25 €
AD3
8MG
697,01 €
Last day to order a ADSL line: 1st, October.
FURNISHING
ARMCHAIRS
DETAILS
AR
Chair: Arca
Height: 0.88 m.
Width: 0.44 m.
Available in blue and red.
STANDARD
PRICE
103,50 €
2
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
CHAIRS
DETAILS
STANDARD
PRICE
S 219
Chair: Tex
Height: 0.78 m.
Width: 0.44 m.
Available in yellow and red.
42,30 €
S 200
Chair: Carcasa
Height: 0.75 m.
Width: 0.44 m.
Available in black and white.
13,50 €
S 208
Chair: Iris
Height: 0.83 m.
Width: 0.53 m.
66,30 €
Catalogue
REFERENCE
STOOLS
DETAILS
STANDARD
PRICE
V 265 A
Basic Stool A
Height:0.90 m.
Width: 0.40 m.
43,50 €
V 265 B
Basic Stool B
Height: 0.90 m.
Width: 0.40 m.
43,50 €
V 278 A
Curved Stool A
Height: 0.90 m.
Width: 0.33 m.
47,10 €
FURNISHING
REFERENCE
3
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
STOOLS
DETAILS
STANDARD
PRICE
V 316
Alumin Stool
Height: 0.99 m.
Width: 0.40 m.
49,50 €
V 314
Wooden Stool
Height: 0.99 m.
Width: 0.40 m.
49,50 €
V 318
Venus Stool
Height: 0.88 m.
Width: 0.47 m.
Available in yellow, blue and red.
62,34 €
Catalogue
REFERENCE
TABLES
REFERENCE
DETAILS
STANDARD
PRICE
C 221
Round Black Table
Height: 0.55 m.
Width: 0.60 m.
Chrome structure.
C 322
Wooden Table wich peana
Height: 0.77 m.
Diameter: 0.80 m.
80 €
C 323
Round Table
Height: 0.77 m.
Diameter: 0.90 m.
Chrome structure.
62 €
FURNISHING
51,20 €
4
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
TABLES
DETAILS
STANDARD
PRICE
V 310
Bar Table
Height: 1.15 m.
Diameter: 0.60 m.
Chrome structure.
Available black, white, blue and red.
82,40 €
V 315
Alumin Bar Table
Height: 1.15 m.
Width: 0.60 m.
82,40 €
V 313
Wooden Bar Table
Height: 1.15 m.
Width: 0.60 m.
Chrome structure.
83,60 €
Catalogue
Catalogue
REFERENCE
CUPBOARDS AND SET OF DRAWS
DETAILS
STANDARD
PRICE
E 251
Auxiliar Cupboard
Height: 0.95 m.
Width: 0.75 m.
Available in wooden and back.
95,40 €
E 252
Reception Desk.
Height: 1.00 m.
Diameter: 1.00 m.
94,40 €
E250
Set of draws
Height: 0.77 m.
Diameter: 0.80 m.
75 €
FURNISHING
REFERENCE
5
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
ACCESSORIES
REFERENCE
CH 283
DETAILS
Catalogue
ACCESS CONTROL BARS
STANDARD
PRICE
Silver access control
Lenght: 1,50 m.
Silver poles and red rope.
75,60 €
COATS STANDS
REFERENCE
V 263
DETAILS
STANDARD
PRICE
Coat stand
Height: 1.80 m.
Black and white.
Available black and white.
47,60 €
COUNTERS
REFERENCE
DETAILS
STANDARD
PRICE
E 253
Counter with glass case and doors.
Height: 1.00 m.
Width: 1.00 m.
117 €
6
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
WASTEPAPER BIN
V 262
DETAILS
STANDARD
PRICE
Wastepaper Bin.
Height: 0.21 m.
Width: 0.32 m.
Available black and white.
17,60 €
Catalogue
REFERENCE
SELVING
REFERENCE
V 268
DETAILS
Capres Selving
Height: 0.21 m.
Width: 0.32 m.
Selving with adjustable self.
STANDARD
PRICE
95,10 €
DISPLAY STANDS
DETAILS
STANDARD
PRICE
ACCESSORIES
REFERENCE
CH 282 G
Alumin Display Stand
Height: 1.10 m.
Width: 0.30 m.
Available in black and grey.
75 €
7
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
DISPLAYS COUNTERS AND BANNERS
V 201
V 202
V 203
V 204
Publicity Stand
Height: 0.85 m.
Width: 2.00 m.
Without printed vinyl.
STANDARD
PRICE
263,5 €
Printed vinyl.
108 €
Publicity Stand Round Up
5.59 m of diametre.
Without printed vinyl.
324 €
Printed vinyl.
195,60 €
Banner Stand.
Height: 0.90 m.
Width: 2.15 m.
Without printed vinyl.
198,45 €
Printed vinyl.
Height: 0.90 m.
Width: 2.15 m.
79,20 €
Triangle Banner Stand.
Height: 1.80 m.
Width: 2.15 m.
Without printed vinyl.
600,75 €
Printed vinyls.
Height: 0.90 m.
Width: 2.15 m.
158,40 €
Pop-Up Display Counter
Height: 0.94 m.
Width: 1.98 m.
Without printed vinyl.
808,95 €
Printed vinyls.
Height: 0.90 m.
Width: 2.15 m.
180,40 €
Catalogue
V 200
DETAILS
ACCESSORIES
REFERENCE
8
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
PLANTS AND FLOWERS
PL1
DETAILS
Kentia
STANDARD
PRICE
Catalogue
REFERENCE
167 €
150 cm.
PL2
Ficus Benjamina
103 €
150 cm.
Tronco Brasil
PL3
PL3
80 cm approx.
83 €
150 cm.
113 €
175 cm.
123 €
Azucena (Lilium)
5€
9
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
CARPET
WHITE
BEIGE
GOLD
BURNT ORANGE
LIGHT BROWN
BROWN
BRIGHT GREEN
SEA GREEN
GREEN
DARK GREEN
PINK
ORANGE
RED
BURGUNDY
Catalogue
CHOOSE YOUR CARPET COLOUR
PURPLE
GREY
MARBLE GREY
LIGHT BLUE
NAVY BLUE
BLACK
STANDARD PRICE
15.00 €/sq.meter
Price includes delivery, installation, carpet tape, and removal.
10
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
Catalogue Order Form
COMPANY NAME:
CONTACT NAME:
PHONE#:
REFERENCE
UNITS
PRICE
REFERENCE
UNITS
PRICE
GRAND
TOTAL
subtotal
+
subtotal
CARPET
COLOUR
SQUARE METERS
PRICE
TOTAL
9
9
9
9
9
CARPET COST
Send by fax to: 91 665 94 61
11
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
Payment
COMPANY NAME:
ADDRESS: (STREET)
CITY:
STATE:
COUNTRY:
ZIP CODE:
PHONE:
FAX:
ORDERED BY:
PRINT NAME:
EMAIL:
DATE:
Company VAT number or equivalent
METHOD OF PAYMENT
ENTER TOTALS HERE:
FURNISHINGS
ACCESSORIES
PLANTS & FLORAL
AUDIOVISUALS
ADSL LINES
CARPET
TOTAL
Copies of invoices may be picked up from the Service Desk prior to show closing.
If you have questions or need assistance with any items not listed, please call and ask
for Rafael Rodriguez or Imaculada Jiménez (Exhibitor Sales Representative). Any aditional
requeriment: orders@xpand.es - rafael@xpand.es - inmaculada@xpand.es
P L E A S E
P R O C E E D
T O
P A Y M E N T
O V E R L E A F .
12
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
COMPANY NAME:
CITY:
STATE:
COUNTRY:
Payment
ADDRESS: (STREET)
ZIP CODE:
PHONE:
ORDERED BY:
FAX:
EMAIL:
PRINT NAME:
DATE:
Company VAT number or equivalent
METHOD OF PAYMENT
YOUR SIGNATURE BELOW DENOTES ACCEPTANCE OF ALL TERMS AND CONDITIONS
INCLUDED IN YOUR SERVICE MANUAL.
TOTAL AMOUNT TO BE PAID:
SIGNATURE
BANK TRANSFER
Bank Account Number. IBAN: ES07 2100 2376 9502 00062492 Swift Code: CAIXES
Please reference Name of Show and Booth Number on all bank transfers so we may properly
credit your account. NOTE: Customers are responsible for any bank processing fees.
PLEASE ATTACH CONFIRMATION OF TRANSFER.
CREDIT CARD
For your convenience, we will use this authorization to charge your credit card account
for your advance orders, and any additional amounts incurred as a result of show site
orders placed by your representative. These charges may include XPAND, or any charges
which XPAND may be obligated to pay on behalf of Exhibitor, including without limitation,
any shipping charges. Please complete the information requested below:
All Payments via credit card are subject to a 5% commission charge.
AMERICAN EXPRESS
VISA
MASTERCARD
Exp. Date:
Account No.:
Personal Credit Card
Company Credit Card
Cardholder Name: (Please Print)
Signature:
Cardholder Billing Address:
City / State / Zip:
Country:
E-mail Address for Invoice Notification:
13
Avda. de las Nieves, 37. Portal 1, Esc. A, 1º A.
P. Ind. Las Nieves 28935 Móstoles, Madrid
Tel: +34 91 665 82 40
Fax: +34 91 665 94 61
www.xpand.es
Payment
THIRD PARTY AUTHORIZATION:
FOR USE OF AN EXHIBITOR APPOINTED CONTRACTOR:
YOUR SIGNATURE BELOW DENOTES ACCEPTANCE OF ALL TERMS AND CONDITIONS INCLUDED IN YOUR SERVICE KIT.
EXHIBITOR NAME: (PLEASE PRINT):
EXHIBITOR SIGNATURE:
DATE:
/
/
“We understand and agree that we‚ the exhibiting firm‚ are ultimately responsible for payment of charges
and agree to be bound by all terms and conditions as described in the Terms & Conditions section of this
services manual. In the event that the named third party does not discharge payment of the invoice prior
to the last day of the show‚ charges will revert back to the exhibiting company. All invoices are due and
payable upon receipt‚ by either party. The items checked below are to be invoiced to the third party.”
RENTAL FURNITURE/CARPET/SIGNS
OTHER
THIRD PARTY AGENT INFORMATION
CREDIT CARD ACCOUNT NO.:
EXP. DATE:
PERSONAL CREDIT CARD
AMERICAN EXPRESS
/
/
COMPANY CREDIT CARD
VISA
MASTERCARD
CARDHOLDER NAME: (PLEASE PRINT)
AUTHORIZED SIGNATURE:
CARDHOLDER BILLING ADDRESS:
BILLING CITY/STATE/ZIP:
THIRD PARTY COMPANY NAME:
THIRD PARTY BILLING ADDRESS:
CITY:
COUNTRY:
STATE:
PHONE:(AREA CODE)
ZIP CODE:
FAX:(AREA CODE)
E-MAIL ADDRESS FOR INVOICE NOTIFICATION:
EXHIBITING COMPANY INFORMATION
EXHIBITING COMPANY NAME:
EXHIBITING COMPANY ADDRESS:
BOOTH #:
CITY:
COUNTRY:
STATE:
ZIP CODE:
PRINT NAME:
PHONE:
FAX:
E-MAIL ADDRESS FOR INVOICE NOTIFICATION:
Company VAT number or equivalent
14