Please Tick ( ) Where Relevant

PATA Travel Mart 2016 September 7-9 Indonesia Convention Exhibition (ICE) Greater Jakarta, Banten Province, Indonesia

MEDIA REGISTRATION APPLICATION FOR EDITORIAL STAFF ONLY

For PATA Co # Del # Batch # Submission Date Spouse Dir List Use Only Please tick (√) where relevant

A. DELEGATE INFORMATION Company PATA Membership No. Address Country Postcode Tel Fax Website

Mr Ms Mrs

First Name * Middle Name * Family Name *

* Given name as per passport Title Direct Tel (if different from above) email Publication profile (in 30 words or less.)

A1. BADGE INFORMATION How would you like to have your name shown on the badge? Company Country

A2. ACCOMPANYING SPOUSE / GUEST INFORMATION

Accompanying Guest US$250 per person (entry to official social events only) Spouse / Guest Name

B 1. AIRPORT TRANSPORTATION

Airport transfer services are provided for all registered delegates and registered accompanying guests only. 1. Arrival transfers from airport to officials hotel will be available on September 6-7 and departure on September 10. 2. Shuttle service between hotels and exhibition venue will be provided. Please check with the hotel concierge, PTM Hospitality desk, or refer to the transport schedule, which will be available from the official ground transportation operator upon arrival.

Please indicate if you require airport arrival transfer Yes No Flight details Date Flight number Arrival time

B 2. OFFICIAL HOTEL

Official Hotels to be advised.

C. PLEASE READ AND SIGN BELOW

I am interested in becoming a PATA member. Please send me details.

The undersigned hereby agrees to the conditions of acceptance of PATA Travel Mart as outlined in these registration materials and set forth in the promotional materials, and further agrees to abide by such additional rules and regulations of PATA Travel Mart as shall hereinafter be adopted.

Company Job Title Contact Name Date Signature Company Stamp

Please e-mail your application form at [email protected] by August 15, 2016. Terms and Conditions

 Please complete sections A, A1 and A2. Please note that we are unable to process incomplete entries.  Participation of a spouse / guest is only limited to social events. He / She is not granted entry to the exhibition.  Any name changes should be made in writing. Requests received after September 1, 2016 will be processed on-site.  Cancellations must be made in writing and will be subject to cancellation charges and any bank fees. For cancellations received by August 15, 2016, a 20 percent cancellation charge will apply. Any cancellations received after this period will be subject to a 100 percent cancellation fee.

Limitation of Liability

It is agreed that neither PATA nor any of its officers, directors, members or employees shall have any liability or responsibility for any personal injury, property damage or loss suffered by a delegate or any of his / her family members or other persons attending the PATA Travel Mart with the delegate resulting from the action or inaction of any person other than an employee of PATA. In the event of, or likelihood of, any circumstance which may create an extraordinary risk of injury or damage, PATA shall have the right in its sole discretion, to determine the course of action to be followed in respect to PATA Travel Mart 2016. In the event that PATA cancels or limits the Mart for reasons of safety, neither PATA nor any of its officers, directors, members or employees shall have any liability or responsibility in connection with such cancellation or limitation and their failure to perform any further obligations shall not constitute a breach of contract on the part of PATA to hold such Mart. This Application for registration, when signed by the media delegate, shall serve as an agreement between PATA and the media delegate, and shall indicate that the above terms and conditions of this Media Registration Application have been read and understood by the media delegate. PATA reserves the right to consider as incomplete any Application for Registration submitted without company stamp and signature.