Exhibitor Personnel Badge Registration

Exhibitor Personnel Badge Registration Submit via email to [email protected] Please Return by 25 March 2012 CONTACT INFORMATION Primary Contact □ Will or □ Will Not need an exhibitor badge onsite Name: Title: Address: City: State: Country: Phone: Fax: Email: Website: Booth Number: Please list the first and last name of every contact person from your company that requires an exhibitor personnel badge. First Name Last Name Title Email Address 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

Your exhibit booth comes with an allotment of exhibitor personnel badges (see chart below). Additional badges are $100 USD Each. These badges allow you entry to the exhibitors’ area ONLY and do not include the registration pass for the conference area. If you wish to register as a conference participant, please register at www.seyco2012.org.

Booth Size (Square Meter) Exhibitor Badge Allotment 9 m² 2 18 m² 4 27 m² 6 36 m² 10 45 m² 15 More than 45 m² 20 If you are in excess of your allotment, you will receive an invoice for the additional exhibitor personnel badges that includes payment details.

Tel: +265 (0) 1 727 730 Fax: +265 (0) 1 727 730| Email: [email protected] | Web www.seyco2012.org

Shipping Details Required Form Submit via email to : [email protected]

Important: Please return this form 30 days prior to move in to facilitate the proper staff and equipment to unload your exhibit materials. Please copy for your reference.

1. Company Exhibiting Company: Booth Number: Information Contact Name: Contact Email: Telephone Number: Fax Number: How many days will you need to install your exhibit?

2. Shipping Shipper: Information Address: (From where material will be shipped) City: State: Country: Date Shipment being sent (Month/Day/Year): Intended/Expected arrival date (Month/Day/Year): Materials being shipped to: (Circle One) Warehouse Show Site If using a Customs Agent or Broker other than PanAfric, please list name:

Phone: Fax: Email:

3. Transportation Shipped via: (Circle one) Common Carrier / Van Line / Private / Air Freight / Other List Carrier Name(s) Tracking Numbers

Number of Pieces to be Shipped: Largest Piece: Size: Weight: Packaging: Crated Uncrated Machinery Misc.

4. Shipping Problems In case a problem occurs with shipment, contact (in order of preference): Name: Phone Office: Home: Cell: Email:

Name: Phone Office: Home: Cell: Email:

All freight handling charges must be paid in full. Shipment of materials to warehouse or show site address indicates acceptance of these terms.

Tel: +265 (0) 1 727 730 Fax: +265 (0) 1 727 730| Email: [email protected] | Web www.seyco2012.org Booth Equipment Details Required Form Submit via email to [email protected]

Company Exhibiting Company: Information Contact Name: Contact Email: Telephone Number: Fax Number:

Electrical Order □ Yes, we require an electrical outlet in our booth □ No, we do NOT require an electrical outlet in our booth

□ We require more than one electrical outlet in our booth Enter Desired Quantity: ______We will make every effort to supply additional outlets; however, due to building & construction limitations, it may not be possible. We will advise on availability in mid-October.

Shell Scheme Shell scheme panel size is 2.5m by 1m □ Yes, we require the shell scheme for our booth □ No, we do NOT require the shell scheme and want SPACE ONLY

Spotlights □ Yes, we require 2 spotlights for our booth □ No, we do NOT require spotlights

Tables & Chairs 1 table and 2 chairs are provided per 9m², up to 45m² □ Yes, we require all tables and chairs included with our booth □ No, we do NOT require any tables or chairs with our booth

□ We require ______tables and ______chairs Requests in excess of your allotment may not be available and may incur additional fees.

EXHIBITION SPACE

With prime exhibition space at the Millennium Hall and more than 10,000 delegates expected, organizations can effectively reach a broad cross-section of players in the global response to HIV and AIDS, including heads of state, ministers, heads of international organizations, women leaders, and human rights advocates, members of the civil society, policy makers and other stakeholders. The booth package are as follows fees:

Types of Organizations Fee per SQM (USD) International Private Corporations 520.00 Regional Private Corporations 430.00 International Institutions & NGOs 530.00 Regional Institutions & NGOs 330.00 Local Organizations 250.00

Tel: +265 (0) 1 727 730 Fax: +265 (0) 1 727 730| Email: [email protected] | Web www.seyco2012.org