Iceland Geothermal Conference 2013 Exhibition Order Form - Brochure

Company  nameContact  nameCity Country Zip  CodeStreet  addressPhone Fax E-­-mailCustomer's  nameContact  nameCity Country Zip  CodeStreet  addressPhone Fax E-­-mailStands  are  available  in  minum  size  of  6m2Fees  for  exhibition  space: ISK          a)  Exhibit  Space ISK  360.000  (6m2)  3  x  2  metersIncluded:  Standard  wall  division  (white  plastic  coated  &  alu.  framed),  1  electricity  outlet  230V/1000W  earthed  (plug  with  3  connections)  and  WiFi.  One  free  registration  which  includes:  coffee  and  lunches  during  breaks  and  admittance  to  the  Get-­-together.Extra  staff  badge  ISK  25.000.    Included:  Refreshments  and  lunches  during  breaks,  Get-­-Together  and  name  badge.Number  of  extra  staff @  ISK  25.000Total  fee:Credit  cardCard  number,  exp.  date  and  cvc  numberName  of  cardholder:Bank  transfer  information:Islandsbanki,    Fjardargata  19,  220  HafnarfjordurAthygli  Conferences,  ID.No.:  520199-­-2929,    IBAN:  IS86  0545  2600  6368  5201  9929  29,    SWIFT:    GLITISRE  Please  mark  the  transfer  with  NSN2013Date SignatureIceland  Geothermal  ConferenceMarch  5  -­-  8,  2013HarpaEXHIBITOREXHIBITION ORDER FORMComplete  the  order  form  and  press  send  at  the  bottom  of  the  page  or  send  it  to  the  Conference  Secretariat:Athygli  ConferencesSíðumúli  28,  IS-­-108  ReykjavíkE-­-mail:  thorunn@athygli.isTel.:  +354  899  5878BILLING  ADDRESSAll  staff  at  the  stands  must  register  for  the  Congress.    List  of  names  should  be  provided  before  February  1,  2013  to  Athygli  Conferences  to  thorunn@athygli.is.IMPORTANT  INFORMATIONPlease  note,  that  the  exhibition  space  fee  includes  a  registration  to  the  IGC  Conference  2013  for  one  person  (including  Get-­-Together).Exhibititors  are  kindly  asked  to  build  stands  to  2  sqm  depth  exclusively  to  keep  a  unified  view  of  the  whole  exhibitation  area.    If  you  have  any  further  questions,  please  contact:  thorunn@athygli.isPAYMENTEXHIBITION  FEES name: Contact name 1: Contact name 2: Country: Zip Code: Street address 1: Street address 2: Fax: Email: Contact name: name 1: name 2: Country_2: Zip Code_2: Street address: FEES: Fax_2: Email_2: extra staff: Date: Cc_number: Name_of_cardholder: Total_number_of_extra_staff: 0 Cost_of_space: Total_cost: 0 Send: