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APPLICATION

SPACE REQUESTED

Stand N° Area sq.m Basic Stand Only floor area Mesures mts.   USD 175 + VAT per sq.m (only floor area without booth, minimum area 30 sq.m.) USD 205 + VAT per sq.m ((area with basic booth, minimum area 12 sq.m.) Net Cost USD VAT USD Total Amount USD

PAYMENT METHOD

Installments to be paid-in by 30% in advance in USD 1° Number of installments 2° Downpayment to be deposited on 3° Installment amount in USD 4°     5°     6°

COMPANY

Corporate Name Adress ZIP Code City Province-State Country Telephone (Prefix + Number) Fax (Prefix + Number) E-mail Web Activity   Tax Ident. N° Registered VAT Payer Simplified Tax Regime Exempt Non-registered VAT Paye Other   REPRESENTATIVE FOR FAIR-RELATED ISSUES Name Last Name Position E-mail