Seller Registration

Deadline 12 September 2015

Please fill information in BLOCK LETTERS and check the applicable boxes.The information below will be reproduced in the Buyer & Seller Directory for mailing purpose. Please ensure that the information you provide in this form is correct.

A. SELLER INFORMATION

Full Delegate
Full Name
(as per passport)
:
Job Title :
Company :
Address :
City :
Postcode :
Province :
Phone :
Fax :
Email :
Website :
Nature of Business :  Airlines Tour Operator Hotel / Resort Travel Agents National & Regional Tourism Organization Spa Others

Co-Delegate(s)

1. Full Name :
Job Title :
2. Full Name :
Job Title :

Person in charge for correspondence

Full Name :
Address :
City :
Postcode :
Country :
Phone :
Fax :
Email :

NOTES:

  • There will be an additional charge of Rp. 200.000,- per name changed after the registration deadline (12 September 2015) and Rp. 300.000,- per name changed during the registration for the Mart (9-12 October 2015).
  • This form must be submitted along with recent colour photograph (2x3 cm size with resoluton 300 DPI) of each applicant. A maximum of 3 (three) regsitered sellers allowed in each booth.

A. BADGE DETAILS
Full Delegate(s)

1. Name :
Company :

Co-Delegate(s)

1. Name :
Company :
2. Name :
Company :

B. PAYMENT PROCEDURE

Registration Early Bird
Before
August 310 2015
Normal Rate
After
August 30, 2015
No. of Booth /
Persons
Total Amount
1 Booth
1 Delegate  Rp.13.750.000  Rp.15.750.000 Rp.
1Co-Delegate
Add Delegate  Rp.2.000.000  Rp.2.000.000 Rp.
Add Co-Delegate(different company)  Rp.1.750.000  Rp.1.750.000 Rp.
Total Rp.

Your application, when signed ad stamped by the company's common seal, shall serve as an agreement between the TIME 2015 Orgaizing Comittee adn the applying organization and shall indicate that the above terms and conditions have been read and fully comprehended by the applicant.

I intend to pay the Registration Fee by :
 Bank Transfer Credit Card

If Bank Transfer (in Full Amount) to:
PT. Pactoconvex Niagatama
Bank CIMB NIAGA
Branch Kuningan Lippo Life
Address : Plaza Centris, Lt.1
Jl.H.R. Rasuna Said Kav.B5, Jakarta Selatan, Indonesia
SWIFT CODE : BNIAIDJA
Account (Rp.) 1730100235006
Please include USD 35.00 when paying by bank transfer)

if via Credit Card :
 Visa Master Card

Name of Cardholder :
Card Number :
Expiry Date :

IMPORTANT NOTES :

  • For payment by credit card, please sign and return this form to TIME 2015 Secretariat.
  • There will be a 5.5% additional bank charge if you pay by VISA/Master Card will not be responsible
  • All bank administration / provision charge would be borne by the payer
  • No personal charge is accepted.
  • Please attach a copy of remittance of bank transfer or credit card in your registration form.
  • Payment by credit card is normally charged in local currency . TIME 2015 Secretariat will not be responsible for subsequent
    exchange rates appliedby the credit card vendor , when your statement is converted into local currency.

CANCELATION POLICY

  • Cancelation and changes to your original booking must be made in writing to TIME 2015 Secretariat.
  • Cancelation received before 30 August 2015, a 50% penalty charge of total payment will be applied .
  • Cancelation received after 30 August, a 100% penalty charge of total payment will be applied

LIABILITY
TIME 2015 Steering Committee adn Organizing Committee shall not be liable for personal accidents or losses or damage to private property of regsitered participants of TIME 2015. Sellers should make their own arrangements with respect to personal insurance.

A. TYPE OF OPERATION

 Adventure/Activity Holidays Air Ticketing Airlines Attraction Museums / Galleries Boat Excursion Coaches / Limousines Convention / Exhibition Facilities Convention / Exhibition Management Convention / Exhibition Venue Day Cruise Operator Destination Management Companies Golf Course Hotel Chains Independent Hotels Marine Sports Tours National Tourism Organization (NTO) Nature / National Parks Professional Convention / Exhibition Organizer Regional Cruise Operator Resorts Service Apartments Spas Sports / Special Events Theme Parks Tour Operators Transportation / Transfers Travel Agency Travel Media Travel Technology Companies Others

B. MARKET AREA YOU REQUIRE

Europe
 Belgium Czech Republic France Germany Greece Netherland Russia Spain United Kingdom Other

Asia Pacific
 Australia Brunei China (PRC) Hongkong SAR India Korea (ROK) Malaysia Singapore Thailand Other

Americas
 Canada USA Other

Middle East / Africa
 Egypt Saudi Arabia South Africa United Arab Emirates Other

C. COMPANY DESCRIPTION
Describe your organization in 20 words or less (IN BLOCK LETERS)

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