The 2nd National-wide Sole-agent Contract Pharmaceutical Industry Fair

Exhibitor’s Application Form

□ Special decorated area clean floor area is1200 m2, with the price of $100 USD / m2, cost sum being Yuan;

□ Common show stands of unit(s), with the show stands dimension of 3m×2m,

Attention, this fair will exhibit in accordance with following special areas, please DO fill following information with care:

In Western Medicine Special Area, with  show stand(s), belonging to the category of: □For blood vessel of heart and brain, □ For anti-infection, □ For digestive system, □ For urinary system, □ For respiratory system, □ For specialty usage, □ Others

In Medical Apparatus and Instruments Special Area, with  show stand(s), belonging to the category of: □ Home service, □Doctor's armamentariums

In Chinese Traditional Medicine Special Area, Area, with  show stand(s), belonging to the category of: □ For internal medicine usage, □ For surgery usage, □ For specialty usage, □ Ethnic medicines, □ Others

In Health Products Special Area, with show stand(s), belonging to the category of: □ Blood fat and blood pressure reduction, □ Adjustment and immunity, □ Family planning, □ Weight reduction and beautification, □ Senescence prove and brain health, □ Nutrition Liquids

In Soft Technologies Special Area with  show stand(s).

Please remark your requirement on above booked show stands is: please mark “√”

□In Area A, with  show stand(s), with the exhibition fee of $990 USD /unit, with the cost sum being Yuan;

Followings are optional (please mark “√”):

□ Book piece(s) of arc gate advertisements, with the cost of $625USD /piece (span of 20m, 2 days), with the cost sum being Yuan;

□Book piece(s) of ballute scroll advertisements, with the cost of $625USD /piece (length of 15m, 2 days), wit h the cost sum being Yuan;

□Book piece(s) of road-side banner advertisements, with the cost of $25USD /piece/double face/day, with the cost sum being Yuan;

□ Meeting meal booking, with the cost of $16.25USD /1 day/1 person. Totally book for days, with the cost sum being Yuan;

□ Book manufacturer party quota of person(s), with the cost of $25USD per capita, with the cost sum being Yuan;

For booking following rooms, please mark “√”

□Class A super luxury two-person standard room: ($85USD /day/Area XVI) day(s), form May to , with the cost sum being Yuan.

□Class B luxury two-person standard room: ($72.5USD /day/Area XV) day(s), form May to , with the cost sum being Yuan.

□Class C economical two-person standard room: ($60USD /day/Area X) day(s), form May to , with the cost sum being Yuan.

□Class D common two-person standard room: ($60USD /day/Area IX/ Area XII) day(s), form May to , with the cost sum being Yuan.

All above service items are confirmed unmistaken, and the bookings are irrevocable. The total cost is RMB Yuan.

Please fill following information clearly, since the information will be the exact address for exhibition confirmation letter (for any change, please contact at: 010-88417991、8841799).

Company Name:...................................................................................................................................................................

Address: Postal Code:.........................................................................................................................................................

Contact person: Department: Title:.....................................................................................................................................

Tel: Mobile: Fax:...................................................................................................................................................................

E-mail:..................................................................................................................................................................................

Remark:...............................................................................................................................................................................

Please fill the above form clearly, after autographed and stamped, together with remittance receipt and relative evidentiary materials, fax to 010-88417993、88541926