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OPERATIONAL FORMS 2 - 5 Juni 2016 | Jakarta Convention Center Form No. Form Description 1 Electricity & Power Installation 2 Telephone Installation 3 Booth Contractor (Special Design Only) 4 Fascia Name (Standard Booth Only) 5 Exhibitor Pass 6 Product Display 7 Booth Program Schedule 8 Advertising 9 Furniture rental 10 Internet Connection 11 Reservation for: Press Conference / Meeting Room No Hall 1 Indonesia Cellular Show 2015 2 PR Department Contact Person PIC Judhi 0856 9506 9962 Hall A Reggie 0856 7001 075 Chris 0818 0677 0755 Hall B Fikry 0877 8335 0010 Dara 0821 1143 0021 Cendrawasih Alifia 0895 3075 2752 Ezra 0821 6626 2146 Deadline 20 MEI 2016 email [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 1 DYP/DIV/IT/037 ELECTRICITY & POWER INSTALLATION Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… NO. ELECTRICITY PRICE 1. 2A / 1 ph / 440 Watt Rp770.000,- 2. 4A / 1 ph / 880 Watt Rp1.540.000,- 3. 6A / 1 ph / 1.320 Watt Rp2.310.000,- 4. 10A / 1 ph / 2.200 Watt Rp3.850.000,- 5. 16A / 1 ph / 3.520 Watt Rp6.160.000,- 6. 32A / 1 ph / 7.040 Watt Rp12.320.000,- 7. 16A / 3 ph / 10.560 Watt Rp18.480.000,- 8. 32A / 3 ph / 21.120 Watt Rp36.960.000,- 9. 60A / 3 ph / 39.600 Watt Rp69.300.000,- INSTALLATION FEE Installation fee Deadline : Booth No. : _________ PRICE Rp 220.000,- QUANTITY SUB TOTAL (Rp) QUANTITY SUB TOTAL 1 220.000,- TOTAL (Rp) : Terms & Conditions: 1. Every order of the electricity power will be charged with Installation fee. 2. Rental price during the exhibition starts at 9.00 am until 9.00 pm. 3. Every on-site order request for electricity installation must be paid in cash. Jakarta, …………………………………..………,2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature &Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 2 DYP/DIV/IT/038 TELEPHONE INSTALLATION Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall: ______________ Name Position Company Phone Address Fax Mobile Phone Email NO. 20 MEI 2016 : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… : …………………………………………………………………………………………………………………… TELEPHONE TYPE Hotline  Service coverage: local, national, mobile phone, credit or debit card authorization.  Commonly used for EDC / credit card purchasing.  Price includes call credit & installation.  Call back is not applicable. 1 Deadline : Booth No. : _________ PRICE / UNIT QUANTITY SUB TOTAL (Rp) Rp 3.500.000,- TOTAL (Rp) : Terms & Conditions: 1. Rental price during the exhibition starts at 9.00 am until 9.00 pm. 2. If necessary, please submit a drawing which indicates specific location for the telephone. 3. Telephone handset must be returned after the exhibition ends. 4. On-site order for telephone cannot be granted. Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 3 DYP/DIV/IT/039 BOOTH CONTRACTOR (SPECIAL DESIGN ONLY) Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : Booth No. : _________ Deadline : 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… I (as the exhibitor) hereby inform you the details of contractor that will be responsible for my booth construction: Company Person in Charge Address Phone Fax Mobile Phone Email : : : : : : : …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… We (as the exhibitor) assure that:  We shall be responsible for any damages of the exhibition venue caused by our booth construction, displayed products/materials, or casualties/injuries that reflects our negligence on safety and security.  We shall pay 50% from the total value on the application form (Form A) if our design and construction breaks the rule and regulation written on the exhibition manual book. Terms & Conditions: 1. Exhibitor or booth contractor must submit a copy of complete booth design before 15 MEI 2016 2. Contractors are obliged to wear Contractor Pass during Set Up and Dismantling period. . Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 4 DYP/DIV/IT/040 FASCIA NAME (STANDARD BOOTH ONLY) Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : Deadline : Booth No. : _________ 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… If your company will be using standard booth (standard shell scheme) as illustrated below: Please write the name to be displayed on the fascia (maximum 26 characters). 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 *please inform us, if you have special inquiries for your standard shell booth. Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp 26 FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 5 DYP/DIV/IT/041 EXHIBITOR PASS Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : Booth No. : _________ Deadline : 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………  ADDITIONAL EXHIBITOR PASS In addition to the free exhibitor passes, we order: PRICE / UNIT QUANTITY TOTAL PRICE (Rp) Rp.25.000,Terms & Conditions:  Every on-site order for exhibitor pass must be paid in cash. Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 6 DYP/DIV/IT/042 PRODUCT DISPLAY CATEGORY Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email No. 1. 2. 3. 4. 5. 6. 7. 8 9. 10. : : : : : : : : Booth No. : _________ Deadline : 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… Brand / Product New Feature / Function Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, Jakarta Pusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 7 DYP/DIV/IT/043 BOOTH PROGRAM SCHEDULE Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : Deadline : Booth No. : _________ 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… No. 1. 2. 3. 4. 5. 6. 7. 8 9. 10. Program Date Time Terms & Conditions: 1. Program slot for each hall is 30 minutes. 2. Maximum slot for one show is 30 minutes (1 hour)for Hall B and 30 minutes for Hall A, Cendrawasih& Main Lobby. 3. Maximum slot for one day is 180 minutes (3 hours) where there must be a break time at least 1 hour from the last program (of the same exhibitor). 4. First come first serve basis is applied. Regulation for noise level: 1. There will be 3 (three) times warning if exhibitor produces sound volume more than the maximum limit.(maximum 80 db) 2. If exhibitor still ignores the warning, then the Organizer has the right to cut off the exhibitor’s electrical power. 3. Please sign below indicating that you have read and understood the regulation above. Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 8 DYP/DIV/IT/044 ADVERTISING Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email NO. 1. : : : : : : : : Deadline : Booth No. : _________ 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… TYPE Hanging Banner – Above the booth  Size :1m x 3 m (portrait). PRICE / UNIT QUANTITY SUB TOTAL (Rp) Rp3.500.000,- TOTAL (Rp) : Terms & Conditions: 1. Exhibitorsmust providetheir own promotional material. 2. First come first serve basis is applied. 3. Payment must be in cash on setup days or the showdays. 4. The placement of hanging banner above the exhibitor’s booth depends on the availability of the roof hanger point, makes reservation before order. Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] 9 FURNITURE RENTAL Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : Booth No. : _________ Deadline : 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… *Please inform us if you need any specific furniture that’s not available in this form. Jakarta, …………………………………..………, 2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stam FORM PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H. Thamrin No. 81, Jakarta Pusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email : [email protected] 10 DYP/DIV/IT/045 Please return this form to : IT Division, fax # : 021 – 3199 6277 Hall: ______________ Name Position Company Phone Address Fax Mobile Phone Email : : : : : : : : Deadline : Booth No. : _________ 20 Mei 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… INTERNET CONNECTION (CABLE) PRICE /PACKAGE Package : 2 Mbps Rp 2.000.000,- QUANTITY TOTAL (Rp) Our official internet provider for Indonesia Cellular Show 2016 is PT. Hipernet Indodata, and we will provide the cable-line only with internet connection. Please advise that each exhibitor must bring their own router. Terms & Conditions: 1. Rental price during the exhibition starts at 9.00 am until 9.00 pm. 2. Combine order cannot be granted. 3. On-site order for internet cannot be granted. Jakarta, …………………………………..………, 2016 Organizer, Exhibitor, < Dyandra Promosindo Name, Signature & Company Stamp PT. DYANDRA PROMOSINDO th The City Tower, 7 Floor Jl. M.H.Thamrin No. 81, JakartaPusat Phone: 021 – 3199 6077 Fax : 021 – 3199 6277 Email :[email protected] FORM 11 DYP/DIV/IT/047 Reservation for: Press Conference / Meeting RoomPlease return this form to : PR Dept, fax # : 021 – 3199 6277 (attn : Ms. Asri) Hall:______________ Name Position Company Phone Address Fax Mobile Phone Email 1. Event’s date 2. Event’s time 3. No. of participant 4. Event’s type 5. Room option 6. Menu option : : : : : : : : Booth No. : _________ Deadline : 20 MEI 2016 …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… : ………….………………………………………………………………………………………………………………… : ………….………………………………………………………………………………………………………………… : ………….………………………………………………………………………………………………………………… : Press Conference Meeting Gathering : ………….………………………………………………………………………………………………………………… : Coffee break Meeting package Terms & Conditions: 1. Food & Beverages must be ordered from Jakarta Convention Center. 2. Organizer didn’t provide sound system, backdrop nor any multimedia devices. 3. Billing and payment is directly between exhibitor and venue owner. 4. All room rentals must be done through Organizer, please check availability to our PR dept. 5. The pricelist and selections of coffee break / meeting package can be asked to Organizer. Jakarta, …………………………………..………,2016 Organizer, Dyandra Promosindo Exhibitor, Name, Signature & Company Stamp Meeting Room Details