First name ................................................................................................................................................

Surname ...................................................................................................................................................

Company....................................................................................................................................................

Address......................................................................................................................................................

Zip Code ........................................................

City.................................................................................... Country ..........................................................

Phone .......................................................................................................................................................

Fax ...........................................................................................................................................................

e-mail..........................................................................................................................................................

Booth reservation

I wish to reserve a: 

3 m x 1 m	Lire 4,000,000
3 m x 2 m	Lire 5,500,000
3 m x 3 m	Lire 7,000,000
3 m x 4 m	Lire 9,000,000
4 m x 4 m	Lire 12,000,000

Booth No. .............................

Optional

I wish to reserve the following optional services:

..........................................................................................................................................................

..........................................................................................................................................................

Supplementary energy:

Yes, I need ............................................................ supplementary energy
 
 

PAYMENTS

All advance payments of 50% of the total booth cost + optional should be made in Italian Lire; the amounts should be net of all bank charges.

I enclose a Euro-cheque made out to "the office - Trieste" for a total of Lire ................. 

I have sent an international money order made out to "the office - Trieste"

I have transferred the amount of Lire ...........................to Account n°17860 W, made out to "the office - Trieste", Banca Antoniana, piazza Borsa 11/a - 34121 Triesteabi 05040- cab 02230 - swift address ANT BIT 2 PA
  

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