Exhibition Application Form

The 3rd China Pharma, Biotech & Chemical IP Forum And Innovation Exhibition
May 25-27, 2012
China Medical City, Taizhou, China

Please type the name of the person who will be officially responsible for this exhibit. This person will be receiving all communications from IP Forum about exhibiting at the meeting. An e-mail address is required.

Exhibition Application Form
Company Name:	*
Name of the person who will be officially responsible for this exhibit
Title:
First Name:	*
Last Name:	*
Address Line 1:	*
Address Line 2:
City:	*
State/Province:	*
Postal (Zip) Code:
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Exhibit Fee April 02, 2012 is the deadline for receipt of the Exhibitor Application. Exhibit Booths will be assigned on a first come, first serve basis upon receipt of this Exhibition Application and full payment.
Please select the booth space	Full payment for 3.0 X 3.0 meters inline booth space enclosed (1000RMB or $150 USD) Full payment for 3.0 X 3.0 meters cornor booth space enclosed (1300RMB or $200 USD) *
Optional Color Logo in the Meeting program (500RMB or $80 USD)
	Yes No
Exhibit Staff Registration Each 3.0 X 3.0 Meters booth space payment entitles your company to: One complementary exhibitor personnel pass and registration Option to purchase three additional exhibit hall passes and registrations at 500 RMB ($80 USD) each (Note: No more than four staff per space can be accommodated. This form must be received by May 01, 2012. )
Contact person:	*
First badge Free (First and Last Name):
Additional badge1 $80 (First and Last Name):
Additional badge2 $80 (First and Last Name):
Additional badge3 $80 (First and Last Name):
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By click the Yes Button, I have read, and accepted all the terms of the IP Forum Exhibit Rules and Regulations
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