WINTER 2005 EXHIBIT APPLICATION FORM

Please, fill in, print out and send back this form to the
WINTER 2005 Conference Secretariat by fax or via (air) mail:

WINTER 2005 Conference Secretariat, c/o Viktor Richter, SCOPE Meetings Ltd.
Kende u. 13-17, H-1111 Budapest, Hungary; fax: +361 386 9378

Company data  (Please provide company name as you wish it to appear in the program.)

Company name 	

Address 	

City ……………………..……………………………………….... State 	

Zip code ……………………..………………………………..…. Country 	

Phone (incl. country code)	

Fax (incl. country code)	

E-mail 	

Contact last name …………………………………………….…… First name	

  We would like an identification sign          We do not need an identification sign

Booth selection

Space is limited at the Budapest University of Economic Sciences and Public Administration and is available on a first come first served basis. Final space will be determined by the WINTER 2005 Confrence Secretariat.

Total number of 3 m (width) x 2 m (depth) booth(s) requested:		………………………

Total cost of the exhibit booth(s):					HUF	………………………

Product description

A maximum of 50-word description of your product or services to be featured in the exhibit must be e-mailed to richter@sztaki.hu. Note: Application WILL NOT be processed without this description and payment of the exhibit fee. If application is approved, this will be printed in the program EXACTLY as it appears.

Cancellation

Cancellations received on or before 10 January, 2005 are subject to a 50% cancellation fee. If cancellations occur after 10 January, 2005, the company will be responsible for paying the full cost of one booth.

Contract agreement/indemnification

Exhibitor assumes entire responsibility and hereby agrees to protect, indemnify, defend, and hold the WINTER 2005 Conference Secretariat (SCOPE Meetings Ltd.), the Budapest University of Economic Sciences and Public Administration and F & F Plusz Bt., and their employees and agents harmless against all claims, losses, damages to persons or property, governmental charges or fines and attorneys fees arising our of or caused by exhibitor’s installation, removal, maintenance, occupancy, or use of exhibition premises or a part thereof, excluding any such liability caused by the sole negligence of the Budapest University of Economic Sciences and Public Administration, F & F Plusz Bt., their employees and agents.

Date 	….          Signature