单位名称

法人代表                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              

详细地址

邮 编                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

网  址

邮  箱                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

电  话

传  真                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

参展联系人

职 务

手 机

业务范围

参会形式：

□标准展位：           个，展位号              ，费用：                 元；

□空 场 地：           ㎡，展位号              ，费用：                 元；

□会刊广告：           版（规格：210㎜×140㎜），费用：                 元；

□技术讲座：      场，预计     分钟，费用：       元；发言人：            ；

议题为：                                                                  ；

□我公司参观本次展会，需派         名代表参加（名单另附），请提供入场证件；

费用支付

1.我单位同意参展，费用总额合计人民币    万   仟   佰   拾   元整（¥       ），按要求在    年    月    日之前将以上费用汇入组委会指定帐户。

2.参展单位在申请预定展位之日起一周之内须向组委会支付参展费用，如展商未支付定金或全额费用，主办单位将不再为其保留预定展位。

3.备注：                                                                    

组委会指定收款帐户:

户  名：四川新中联展览服务有限公司

帐  号：44022 7100 91000 69725

开户行：工商银行抚琴西路支行

       申请参会单位名称    

     （盖章）

    负责人（签字）    

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