tourismindonesiamartexpo.com

Seller’s Registration

Deadline
12 September 2014

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 Name
(as per passport)
:
Job Title :
Company :
City :
Postcode :
Country :
Phone :
Fax :
Email :
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 2014) and Rp. 300.000,- per name changed during the registration for the Mart (9-12 October 2014).

A. BADGE DETAILS
Full Delegate(s)

1. Name :
Company :

Co-Delegate(s)

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

B. PAYMENT METHODS

Registration Early Bird
Before
August 31, 2014
Normal Rate
After
August 31, 2014
No. of Booth /
Persons
Total Amount
Booth  Rp.10.000.000  Rp.12.000.000 Rp.
Delegate  Rp.2.000.000  Rp.2.000.000 Rp.
Co-Delegate  Rp.1.750.000  Rp.1.750.000 Rp.
Total Rp.

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 2014 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 2014 Secretariat will not be responsible for subsequent
    exchange rates appliedby the credit card vendor , when your statement is converted into local currency.

Seller's Profile Form

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

Please Fill in the captcha below :
captcha

counting down to event:
89    Days
TIME 2014 Event Secretariat:
c/o Pacto Convex Ltd.
Lagoon Tower level B1,
The Sultan Hotel
Jl. Jend. Gatot Subroto
Jakarta 10270, Indonesia
P: +62 21 570 5800
F: +62 21 570 5798
© Copyright TIME 2013, 2013 All rights reserved.