APPLICATION FORM Deadline: FORM 1

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Sheila Tyler
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1 APPLICATION FORM Deadline: FORM 1 Company name: Address: City: Post code: Country: Phone: Fax: www. Person responsible for the event: Phone: Forwarding address : City: Post code: Country: Modules available: * Please mark by cross Module A Module B Module C Module D Module E Module F NON-STANDARD MODULE 6 sq.m. space only in exhibition hall 9 sq.m. space only in exhibition hall 12 sq.m. space only in exhibition hall 15 sq.m. space only in exhibition hall 18 sq.m. space only in exhibition hall 20 sq.m. space only in exhibition hall Quantity of sq.m.:.. space only in exhibition hall * * * * * * Individual calculation OBLIGATORY FEES: Registration fee 260 Power connection up to 2kW fee 130 Waste removal fee All prices do not include VAT tax. 8 /m 2 I hereby agree for processing the following personal information strictly for the purposes of Agencja "SOMA" Sp.J. and its partners in accordance with the regulation for the protection of personal data passed on the following day: r. DzU nr 133 poz I hereby agree for receiving commercial news from Agencja "SOMA" Sp.J.and its partners in accordance with the regulation of the act passed on the following day: DzU nr 144 poz 1204 as amended. At any time I have the right to cancel above consent. VAT EU number:..(only for exhibitors from EU) By signing the Application Form we accept current Participation Conditions and Fair Regulations and declare to comply with the provisions those documents include. Form receiving confirmation (filled by the Organizer) Date, Signature Date, Stamp, Signature

2 STAND BUILT BY THE ORGANIZER Deadline: FORM 1 A NAME ON STAND'S FASCIA (max. 25 characters)* Person responsible for stand construction: Name and Surname: Phone: WE ORDER THE FOLLOWING EXHIBITION SPACE BUILD UP: STANDARD Build up types include: Net build up price 1m 2 in EURO Quantity of ordered build up in m 2 Net value in EURO 2,5 meters high, white OCTANORM stand construction, white fascia (30 cm high) on the front of the stand, grey carpeting, company name on fascia, furniture: for stands up to 12 sq.m. 1 table and 4 soft chairs. For stands over 12 sq.m. 1 table and 4 soft chairs to each additional full 12 sq.m., mini storage (1m x 1m) with a door for stands over 12 sq.m., 2 electric points with 2 sockets, light points: 1 light point for each 3 sq.m. of stand, waste basket, clothes hanger ADDITIONAL FURNISHING WILL BE SENT AFTER RECEIVING THIS ORDER FORM STANDARD SILVER 2,8 meters high white laminated walls -16 mm gauge (fixed to MAXIMA silver stand construction of 3 m high), fascia on each open side of the stand with stand number and name of company (max. 25 characters), 1 double electric socket for each full 10 sq.m. of the stand, 1 square table and 4 soft chairs for each full 10 sq.m. of the stand, mini storage (1m x 1m) with a door, waste basket, grey carpeting 40 m 2 55 m 2 ADDITIONAL FURNISHING WILL BE SENT AFTER RECEIVING THIS ORDER FORM STANDARD SILVER PLUS 2,8 meters high white laminated walls -16 mm gauge (fixed to MAXIMA silver stand construction of 3 m high), fascia on each open side of the stand with stand number and name of company (max. 25 characters), 1 double electric socket for each full 10 sq.m. of the stand, 1 square table and 4 soft chairs for each full 10 sq.m. of the stand, mini storage (1m x 1m) with a door, waste basket, grey carpeting, grate ceiling for hanging chandeliers (max. load 30 kg/sq.m.) over the whole area of the stand 65 m 2 ADDITIONAL FURNISHING WILL BE SENT AFTER RECEIVING THIS ORDER FORM STANDARD COMFORT We offer two types of standard comfort build up: with grate ceiling or with information counter 100x50x100cm and platform 100x100x100cm 3m high, silver MAXIMA construction, stand signature on exaggeration made from highlited plexi with logo, walls available in 6 colours of KOLOR OE C AN Oracal system: grey 074, black 070, cream - 023, navy blue - 518, red - 030, white 010, carpeting available in 6 colours: black- 1257, green , beige , navy blue , grey , red 1718, furniture: 70 cm high round table with glass top, 4 white club leather chairs, mini storage 1x1m with door, 2electric points with 2 sockets, waste basket, clothes hanger For build up of over 24m 2 organizer provides extra white leather couch ( 180x88 cm) ADDITIONAL FURNISHING WILL BE SENT AFTER RECEIVING THIS ORDER FORM *Name on stand's fascia must include name or brand only of applying company All prices do not include VAT tax VAT EU number:..(only for exhibitors from EU) STANDARD COMFORT WITH CELING m 75 2 Wall colour no.... Carpeting colour no STANDARD COMFORT INFORMATION COUNTER AND PLATFORM m 2 Wall colour 75 no.... Carpeting colour no Form receiving confirmation (filled by the Organizer) Date, Signature Date, Stamp, Signature

3 INSTALLATION AND CONSTRUCTION HANGING ORDER Deadline: FORM 2 A Note: All the prices do not include VAT tax. 1. INSTALLATIONS code service Net price Quantity Net value 155 additional power supply up to 2 kw on the stand (230V, one phase current supply) ceiling power supply up to 2 kw on the stand (230V, one phase current supply) increasing of power supply up to 9 kw (400V, three phase current supply) with 16A socket increasing of power supply up to 25 kw (400V, three phase current supply) with 32A socket increasing of power supply up to 36 kw (400V, three phase current supply) with 32A socket increasing of power supply over 36 kw (400V, three phase current supply) with 64A socket (demands providing the stand electrical installation project) Individual price h electric socket supply (230V, one-phase supply up to 2kW) power connection on the outside area up to 4kW ( 230V, one phase current supply) increasing of power supply up to 9 kw (400V, three phase current supply) on the outside area with 16A socket increasing of power supply up to 25 kw (400V, three phase current supply) on the outside area with 32A socket increasing of power supply up to 36 kw (400V, three phase current supply) on the outside area with 32A socket increasing of power supply over 36 kw (400V, three phase current supply) on the outside area with 64A socket (demands providing the stand electrical installation project) Individual price 167 water connection water connection on the outside area days WI Fi internet access, 1 Mbs speed days WI Fi internet access, 2 Mbs speed days WI Fi internet access, 4 Mbs speed fax machine installation with the fax machine (fax connections price not included) 75 TOTAL -1 : 2. CEILING CONSTRUCTIONS HANGING code service Number of points Load per point Net price Net value 173 Flag/banner hanging (installation from riser included). Elements should be prepared for hanging i.e. equipped with steel cords, hooks, chains etc. 174 Hanging of constructions, foot-lights, exhibits (hiring of hoisting winch is not included). Elements should be prepared for hanging i.e. equipped with steel cords, hooks, chains etc. x 65...kg/point Hoisting winch rental (limited number of machines rental depends on the order sequence) x 70 TOTAL - 2: TOTAL 1 + 2

4 TRADE SHOW CATALOGUE ENTRY Deadline: FORM 3 Entry to Fair Catalogue includes: company name address phone and fax numbers , www Entry to Fair Catalogue must be sent to the Organizer office in electronic form as attachment by to: office@elektroinstalacje.pl. Text must be written with using programs e.i.: Word, WordPad, OpenOffice. In case entry to Fair Catalogue is not delivered, the Organizer reserves the right to publish in catalogue the company name and other data mentioned in the Application Form (Form 1) In order to insert your entry into appropriate product section, please tick maximum 3 categories from the list below: 1. SECURITY SYSTEMS 2. CABLES AND WIRING 3. BUILDING AUTOMATION 4. POWER DISTRIBUTION 5. POWER SUPPLY, MEASURE AND CONTROLLING SYSTEMS 6. INTELLIGENT BUILDING SYSTEMS 7. RENEWABLE ENERGY 8. ARCHITECTURAL LIGHTING 9. TECHNICAL AND COMMERCIAL AREA LIGHTING 10. HOUSING AND DECORATIVE LIGHTING 11. OUTDOOR LIGHTING 12. EMERGENCY AND SAFETY LIGHTING 13. LIGHTING FOR SCENE, STUDIO, CLUB AND PUBLICITY 14. PROFFESSIONAL LIGHT SOURCES 15. POWER, CONTROL AND OPTICAL SYSTEMS, COMPONENTS 16. OTHERS 1. ADDITIONAL ORDERS IN THE TRADE SHOW CATALOGUE Service Net price Quantity Nat value Logo next to the entry 200 EUR EUR TOTAL - 1: EUR 2. FULL PAGE COLOUR ADVERTISEMENT IN THE TRADE SHOW CATALOGUE Service Net price Quantity Nat value Full page colour advertisement (CMYK) 375 EUR EUR size resolution files 146 x 205 mm + margins 300 dpi EPS, TIFF (fonts changed into curves) All page advertisement must be delivered in digital format. Note: All prices do not include VAT tax. VAT EU number:..(only for exhibitors from EU) TOTAL -2 : TOTAL 1 + 2: EUR EUR

5 ADDITIONAL SERVICES Deadline: FORM 4 1. ID CARDS Service Quantity Net value in EURO We order additional ID cards 2,50 EURO TOTAL: 2. HOSTESSES AND INTERPRETERS Interpreter We order English Italian German Russian language for 1 day for one language Hostess Polish 110 EURO 3. STAND HOOVERING Service Quantity Net value in EURO 160 EURO 1m 2 /day Number of days TOTAL: Quantity of m 2 Net value in EURO We order stand hoovering (stand is hoovered once a day before the fair opening) 1 EURO/1m 2 TOTAL: 4. ADDITIONAL PARKING CARD Service Quantity Net value in EURO We order additional parking card valid for the 4 days (March 21 st -24 th, 2017) 30 TOTAL: Note: All prices do not include VAT tax. TOTAL :

6 CONTEST FOR THE BEST PRESENTED PRODUCT Deadline FORM 5 For The Best Presented Product Competition we declare: Name of product/s Quantity Category number Category numbers are available on The cost of declaration of one product or product family is 150. We send the following documentation to applied product/s: Hereby I declare that applied products/technologies do not violate the rules applying on the territory of Poland, in particular protection of industrial and intellectual property rights. VAT EU number:..(only for exhibitors from EU) Note: All the prices do not include VAT tax.

7 INNOVATIVE PRODUCT OR TECHNOLOGY COMPETITION Deadline: FORM 6 For INNOVATIVE PRODUCT OR TECHNOLOGY Competition we declare: Name Quantity Category number Category numbers are available in the Contest Regulations on Participation in this competition is free of charge. Competition is available for products and technologies displayed at the Fair. Each Exhibitor may declare no more than 3 products, technological solutions and/or technologies. Justification of innovativeness (obligatory information): We send the following documentation: I declare that applied products/technologies fulfill following requirements: are present on Polish market no longer than one year (prior March 22 nd, 2017), were not presented during this period on any other trade show, nor applied for any other competitions in Poland, do not violate the rules applying on the territory of Poland, in particular protection of industrial and intellectual property rights

8 FAIR'S SUBJECTS SECURITY SYSTEMS CABLES AND WIRES BUILDING AUTOMATION POWER DISTRIBUTION POWER SUPPLY, MEASURE AND CONTROLLING SYSTEMS INTELLIGENT BUILDING SYSTEMS RENEWABLE ENERGY OTHERS

APPLICATION FORM Deadline: FORM 1

APPLICATION FORM Deadline: FORM 1 APPLICATION FORM Deadline: 30.11.2017 FORM 1 Company name: Address: City: Post code: Country: Phone: Fax: e-mail: www. Person responsible for the event: Phone: e-mail: We will present the products in the