Sellers Registration Form

Deadline : 28 August 2009

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:
Country :
Phone :
  (country code - city code - number)
Fax :
  (country code - city code - number)
E-mail :
Website :
Nature of Business :
Airlines
Hotel/Resort
National & Regional Tourism Organization
Tour Operator
Travel Agents
Spa
Others,
  Please specify
 
Co-Delegate(s)
1. Full Name :    
(as per passport)  
Job Title :
2. Full Name :    
(as per passport)  
Job Title :
Person in charge for correspondence
Name :    
Address :
City : Post Code:
Phone :
  (country code - city code - number)
Fax :
  (country code - city code - number)
E-mail :

Note:

  • There will be an additional charge of Rp. 200.000,- per name changed after the registration deadline (28 August 2009) and Rp. 300.000,- per name changed during the registration for Mart (16-19 October 2009).
  • • 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
Name :
Company :
Co-Delegate(s)
1. Name :
Company :
2. Name :
Company :
 
B. Methods of Payment
Booth
No. of Booth/Person  
Early Bird Rp. 8.500.000 (Until 30 July 2008)
Normal Rate Rp. 10.000.000 (After 30 July 2008)
Booth - Total : Rp.
Delegate Rp. 2.000.000
No. of Booth/Person  
Delegate - Total : Rp.
Co-Delegate Rp. 1.750.000
No. of Booth/Person
Co-Delegate Total : Rp.
Sub Total : Rp.
   
I intend to pay the Registration Fee by :
Bank Transfer (in Full Amount) to:
PT. Pacto Convex in favour to TIME 2006
Lippo Bank - Kuningan Lippo Life (KLL)
Plaza Centris, 1 st Floor
Jl. H. R. Rasuna Said Kav.5-8, Jakarta
A/C No. (IDR) : 705-30-07944-1
Swift Code : LIPBIDJA
Credit Card :
  AMEX VISA MasterCard
AMEX (3% of Sub Total) : Rp.
VISA (5.5% of Sub Total) : Rp.
Mastercard (5.5% of Sub Total) : Rp.
Total Amount : Rp.
     
Name of Cardholder  
Card Number
4 digits security number : (AMEX only)
Expiry Date  

Please read this important notes :

  • For payment by credit card, please sign and return this form to TIME 2009 Secretariat.
  • Please be informed that there will be a 5,5% additional bank charged if you pay by VISA / Master Card and 3% for AMEX
  • For AMEX user, please attach your copy passport or ID and both side of your credit 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 normally charged in local currency. TIME 2009 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: 31 August 2008)
Full Name :
 
A. Type of Operation
Adventure/Activity Holidays Hotel/Resort/Spa
Airlines National Tourism Organization
Convention/Exhibition Facilities Tour Operator
Convention/Exhibition Management Tourist Attraction
Convention/Exhibition Organizer Transportation/Coaches
Cruise/Boat Excursion Travel Agency
Destination Management Companies

 Others 
Golf/Marine Sports/Other Sports Tours

 
B. Market Area You Require
Africa North America
Asia South America
Australia/New Zealand South East Asia
Eastern Europe Western Europe
Middle East Others 
 
C. Company Description
Describe your organization in 20 words or less