APPLICATION FORM

28-29 June 2014

Trade Fair and Congress Centre MT Polska

Company name Address Name, phone and e-mail of responsible person: VAT number Number of IDs

Offer 1 m2 of empty space (below 12 m2) 1 m2 of empty space (13-20 m2) 1 m of empty space (21-49 m ) 1 m of empty space (50-100 m ) 1 m of empty space (beyond 100 m ) Furnishing of the space (stand development costs contains preparation of partitions oktanorma type, upholstered chairs, table, floor lining, 1 lighting point for every 3 square metres of stand, company name frame printed in black and white) Floor covering (with approval) on the undeveloped stand Connection to three-phase current 400 V (III phases) to 9 kW 400 V (III phases) 18 kW Halogen 150 W Metalhalogen Stand number:
2 2 2 2 2 2

Net price 79,75 /m2 64,75 /m2 59,75 /m

2

Quantity m2 m2 m2 m2 m2 m2 m2 pieces pieces pieces pieces pieces Total net VAT 23 %

Net value

49,75 /m2 39,75 /m2 15,25 /m2 3,25 /m2 75,00 200,00 350,00 6,25 25,00

Gross

Terms of payment:

First installment equal to 50% of gross value within 14 days from the mailing date of the registration form; further installments payable until 15 June 2014. Payments should be made on the following account: AB RAM Jakub Pawowski, ul. aglowa 4/11, 02-654 Warszawa, PL 74 1140 2004 0000 3112 0124 3005, SWIFT: brexplpwmbk

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City, date

Signature and stamp