51st IFATCA Annual Conference 2012, March12th

Exhibition Accessories Request Form

Company Name

Company Address

Telephone

Fax

Contact Name

Position

Item	Specification	Price US$	Units	Charge US$
Table	2ft X 4ft	50
Chair	-	10
Power Point	5/15 amp	60
Power Point	3 phase power	150
Spotlight	100 Watts	50
Fascia Name Sign	Standard	50
Wall Shelf	6 in X 3ft	60
LCD Screen	17-20 inch	120
Laptop Computer With Softwares		150
Potted Green Plant		20
Customs Clearing*	Import	120
Customs Clearing*	Export	100
		Total

Mode of Payment

US $

Bank Money Transfer Credit Card or Debit Card Transfer

Issuing Bank :
Bank Money Transfer Reference	Date :
If you are transferring your payment through a bank transfer, please remit your registration fee to the following account:
Bank Name: Nabil Bank	Account Name: House of Rajkarnikar Conferences & Incentives
Account Number: 0104211812101	Bank Swift Code: NARBNPKA

Note:

- The charges covers all four days of the exhibition
- The organizers will honor the requests as per avaibility
- * Does not include duty or VAT or transportation