SELLERS REGISTRATION FORM

Deadline : 17 September 2010

The information below will be reproduced in the Buyer & Seller Directory and will be used for mailing. Please ensure that information you provide in this form is correct.

A. Seller Information
Full Delegate 
Full Name    
Job Title
Company
Address
City Post Code
Phone Fax
E-mail Website
   
Nature of Business (please tick √)
Airlines
Hotel/Resort
National & Regional Tourism Organization
Tour Operator
Travel Agents
Spa
Others, Please specify
 
Co-Delegate(s)
1. Full Name :
    Job Title :
2. Full Name :
    Job Title :
 
Person in charge for correspondence
Name :    
Address :
City : Post Code:
Phone : Fax :
E-mail :

Note:

  • There will be an additional charge of Rp. 200.000,- per name changed after the registration deadline (17 September 2010) and Rp. 300.000,- per name changed during the registration for Mart (12-15 October 2010).
  • This form must be accompanied by two recent colour photograph (2x3 cm) of each applicant. A maximum of 3 (three) registered sellers allowed in each booth
 
Badge Details
Full Delegate(s)
1. Name :
    Company :
Co-Delegate(s)
1. Name :
    Company :
2. Name :
    Company :
 
B. Methods of Payment
 
Registration
Early Bird
Until
3 September 2010
Normal Rate
After
3 September 2010
No. of Booth /
Persons
Total Amount
Booth
Rp. 8.500.000
Rp. 10.000.000
Rp.
Delegate
Rp. 2.000.000
Rp. 2.000.000
Rp.
Co-Delegate
Rp. 1.750.000
Rp. 1.750.000
Rp.
Total Rp.
   
intend to pay the Registration Fee by : Credit Card : VISA
  MasterCard
 
Bank Transfer (in Full Amount) to:
(Please include USD 35.00 when paying by bank transfer)
PT. PACTOCONVEX NIAGATAMA
Bank CIMB NIAGA, Branch Kuningan Lippo Life
Plaza Centris, 1st Floor
Jl. H. R. Rasuna Said Kav. B5, Jakarta Selatan
A/C No. (USD) : 173-02-0000600-6
Swift Code : BNIAIDJA
   
Name of Cardholder
Card Number
Expiry Date
 

Please read this important notes :

  • For payment by credit card, please sign and return this form to TIME 2010 Secretariat.
  • Please be informed that there will be a 5,5% additional bank charged if you pay by VISA / Master Card
  • All bank administration / provision charge would be borne by the payer .
  • No personal charge is accepted.
  • Please attach a copy of remittance of bank transfer or credit card in your registration form.
  • Payment by credit card is nor mally charged in local currency. TIME 2010 Secretariat takes no responsibility for subsequent exchange rates applied by the credit card vendor, when your statement is converted into local currency
 
SELLER`S PROFILE FORM (Deadline : 17 September 2010)
 
Full Name :
 
A. Type of Operation
Adventure/Activity Holidays National Tourism Organization (NTO)
Air Ticketing Nature / National Parks
Airlines Professional Convention / Exhibition Organizer
Attraction / Museums / Galleries Regional Cruise Operator
Boat Excursion Resorts
Coaches / Limousines Service Apartments
Convention / Exhibition Facilities Spas
Convention / Exhibition Management Sports / Special Events
Convention / Exhibition Venue Theme Parks
Day Cruise Operator Tour Operators
Destination Management Companies Transportation / Transfers
Golf Course Travel Agency
Hotel Chains Travel Media
Independent Hotels Travel Technology Companies
Marine Sports Tours Others, please specify 

 
B. Market Area You Require
  Europe   Asia Pacific   Americas   Middle East/Africa
Belgium Australia Canada Egypt
Czech Republic Brunei USA Saudi Arabia
France China (PRC) Others  South Africa
Germany Hongkong SAR     United Arab Emirates
Greece India     Others 
Netherland Korea (ROK)        
Russia Malaysia        
Spain Singapore        
United Kingdom Thailand        
Others  Others         
 
C. Company Description
Describe your organization in 20 words or less
 

Enter the code as it is shown:

TIME 2010 SECRETARIAT
c/o Pacto Convex Ltd.
Lagoon Tower Level B1, The Sultan Hotel
Jl. Jend. Gatot Subroto, Jakarta 10270 - Indonesia
Phone: (62-21) 570 5800 Ext. 214, Fax: (62-21) 570 5798

TITAN CONVEX
Kantor Taman A9 unit C7 Lt.4
Kawasan Mega Kuningan, Jakarta 12950 - indonesia
Phone : (62-21) 5790 6611, Fax : (62-21) 576 4239
E-mail : athar@titanconvex.com, steve@titanconvex.com, tiara_hsb@cbn.net.id

Counting down to Event: 2010-10-12 00:00:00 GMT+00:00