APPLICATION FORM 58°EDITION
COMPANY NAME
ADDRESS
CITY
TEL.
EMAIL
TIN/N° ICC
N°
N°
N°
N°
N°
N°
N°
N°
N°
N°
Q.ta
1
POSTAL CODE
NATION
MOBILE
FAX
Registration rate – R.C. insurance, parking and badge
Collector table 1,60 x 0,80 m
Mineral and fossil table 1,60 x 0,80 m
Creation and gem table 1,60 x 0,80 m
Stand 2 o 3 side open
Stand 1 side open
Row space
Exhibitors lamps /for table)
Connection and consumption for booth
Lamp 200 Watt
Total
22% VAT WHEN APPLICABLE
TOTAL DUE
This application only if accompanied by payment of deposit of 30% of total due
Deposit date:
TOTAL BALANCE
Tariffe
Euro
Euro
Euro
Euro
Euro/mq
Euro/mq
Euro/mq
Euro
Euro/mq
Euro
50,00
105,00
189,00
220,00
73,00
60,00
42,00
20,00
5,00
25,00
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
Euro
50,00
Euro
The undersigned company asks to be admitted as an exhibitor at the event in question, according to the General rules which accepts completely in all its parts, as seen on the website
www.veronamineralshow.com. The exhibitor is aware that this question will be worthless unless accompanied, even at a later date, the General regulations duly signed.
❑ Unicredit - IBAN: IT 76 V 02008 11796 000000900823BIC/SWIFT UNCRITM1N17
❑ Cheque / circular
❑ In cash / credit card / P.O.S. directly at the Office Ente Cassa.
If payment is made by bank transfer, please indicate clearly: VERONA MINERAL SHOW-GEO BUSINESS and business name Owner. Please note that
registrations will be accepted only if accompanied by the exhibition fees balance inquiries and above. Completed applications will be considered
and signed that, received by the May 10, 2017. Oral confirmation by fax or requests not accompanied by the required documentation will not be
considered valid. After May 10, 2017 applications will be accepted with reserve.
LEGAL REPRESENTATIVE
(Stamp and legible signature)
RESERVED INSTITUTION
Ritirato il titolo, per Euro__________________________________ emessa Quietanza n°______________ in data_____________
To return to Veronafiere fax number 0039 045.8298075 or mail [email protected]
Viale del Lavoro, 8 - 37135 Verona - Italia | T. +39 045 829 811 | F. +39 045 829 8288
www.veronafiere.it - [email protected]