SURABAYA HOSPITAL EXPO XI Hari / Tanggal Tempat Exhibitors
: : :
Selasa – Kamis / 21 – 23 April 2015 Ballroom & Pre-Function Hotel Shangri-La Surabaya 1 s t Floor : 58 Stand & 2 n d Floor : 8 stand
GROUP OF EXHIBITS · Ambulance - Emergency Vehicles Manufactures · Analysis Control & Diagnostic Equipment · Accident & Emergency Equipment · Aesthetic Instrument & Supplies · Clinical Laboratory · Dental Equipment & Supplies · Diagnostic Instrument · Disinfection & Disposal Systems · Electron - Medical - Laboratory Equipment · Equipment for Monitoring & Intensive Care · First Aid - Health & Safety Institute · Hospital Services - Healthcare Institutions · Hospital Engineering · Hospital Sterilization · Hospital Washing Machines · Hospital Washing Machines · Hospital Food Service Equipment · Hospital Environment Services · Hospital material Supplies · Hospital Green Building Products · Hospital Management Products · Hospital Furniture, Interior, & Facilities · Hospital Security Systems · Healthcare Services · Healthcare Information Technology (IT)
· Healthcare Banking · Health Insurance + Health & Wellness Consultant · Kitchen Management & Supplies · Medical Clothing & Supplies · Medical Equipment & Devices · Medical Gas · Medicines, Manufactures, and Supplies · Medical Communication & Information Technology · Ophthalmic Instrument & Supplies · Patient Safety · Patient Technology & Entertainment · Patient Transportation Devices · Preventive Medicine Equipment · Pharmaceutical · Prosthesis Products · Pharmaceutical Production Equipment & Technology · Pharmaceutical Packing Equipment · Rehabilitation Equipment – Orthopedic Supplies · Rehabilitation & Help for The Disabled · Storage Solutions · Telecommunication & Data Transmission · Waste Treatment and Disposal · And other companies which related with hospitalization
PENDAFTARAN • Pendaftaran peserta pameran harus dilakukan secara tertulis dengan memakai Formulir yang telah disediakan oleh panitia • Lokasi stand ditentukan berdasarkan pendaftar pertama “first come first served” • Apabila terdapat lebih dari 1 (satu) calon peserta pameran yang berminat pada lokasi stand yang sama, dan mendaftar pada tanggal dan hari yang sama, maka keputusan terbaik akan diambil bersama - sama dengan panitia • Apabila tidak tercapai suatu kesepakatan maka akan diadakan undian untuk menentukan pemenangnya
STANDARD STAND LANTAI 1 : Rp. 19.800.000,-( 3 x 3 m) LANTAI 2 : Rp. 16.500.000,- ( 3 x 2 m) • Lahan DENGAN partisi seluas ukuran stand • Karpet • Lettering company name tanpa logo • 1 (satu) Meja Uk. 100x50x75 • 2 (dua) Kursi lipat • Tempat sampah • 2 (dua) Lampu TL 40 Watt • Daya listrik 2 Amp • Harga sudah termasuk PPN 10% & PPH pasal 23 sebesar 2% • 5 (lima) name tag peserta Pameran • Publikasi di Website PD-PERSI selama 3 bulan
SPACE ONLY LANTAI 1 : Rp. 19.107.000,LANTAI 2 : --- * • Lahan TANPA partisi seluas ukuran stand • Daya listrik 2 Amp • Harga sudah termasuk PPN 10% & PPH pasal 23 sebesar 2% 5 (lima) name tag peserta Pameran • • Publikasi di Website PD-PERSI selama 3 bulan
PEMBAYARAN Pembayaran stand harus diterima paling lambat tanggal 18 Maret 2015.
PEMBATALAN & PENGEMBALIAN • Pembatalan harus dilakukan secara tertulis dan 10% pembayaran yang sudah masuk tidak akan dikembalikan. • Apabila pembatalan dilakukan mulai tanggal 19 Maret maka 50% pembayaran tidak akan dikembalikan • Pajak yang sudah dibayarkan tidak bisa dikembalikan.
PEMBAYARAN MELALUI TRANSFER DITUJUKAN KEPADA REKENING : PT. OKTA SEJAHTERA INSANI BANK Danamon Indonesia, cabang Grogol Acc No. : 27892090
*oleh karena tidak ada akses load in/out barang dari dan menuju lantai 2, maka stand di lantai 2 hanya dikhususkan bagi peserta pameran dengan tipe standard stand saja, perubahan/modifikasi pada stand hanya dapat dilakukan pada bagian dalam stand
BANK Central Asia KCU Kedoya Permai Acc No. : 372 559 9999 PEMASANGAN • Display pameran tanggal 20-04-2015, jam 13.00 – 22.00 WIB • Pameran diresmikan tgl 21-04-2015, jam 08.40 WIB • Penanggung jawab stand pameran mengisi formulir perlengkapan disampaikan kepada Organizer • Pameran dibuka setiap hari jam 08.00 - 17.00 WIB Sekretariat Pameran : PT. OKTA SEJAHTERA INSANI Tel. 021 58907366-68 Fax. 021 58906819-20 Email:
[email protected] Official Exhibiton Contractor : Official Freight Forwarding : PT. KUSUMA INTI MURTI (KIM) PT. ROGERS KINERJA GEMILANG Tel : 021 4205430 021 4254886 Telp : 021. 3854893 Fax : 021 4205453 Fax : 021. 3852580 PIC : Ms. Yunni PIC : Ms. Murti Email :
[email protected] Email :
[email protected]
dan
harus
APPLICATION FORM
11th Surabaya Hospital Expo, 21–23 April 2015, Shangri-La Hotel, Surabaya
To : Organizer | Fax : +62.21 58906819-20 Email. :
[email protected] I. NAME OF EXHIBITOR: ______________________________________________________ Address: ________________________________________ Country: _________________ Tel:___________________________________Fax:_______________________________i__ __________ Website: ___________________________ Email: _______________________________ The space will be needed: _____________________ Block/No. Stand : ______________ Contact Person: ____________________________ Position: ______________________ Name of Director: ________________________________________________________ II. COMPANY NAME (on NPWP): ______________________________________________ N.P.W.P. (For Indonesian Companies): ________________________________________ Address: _______________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included SIZE 3 x 3 m (1st Fl) 3 x 2 m (2nd Fl)
STANDARD BOOTH Rp. 19.800.000,Rp. 16.500.000,-
SPACE ONLY Rp. 19.107.000,-
Name & Title of Personnel: Authorized to Sign:
Date:
AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED
IKLAN KATALOG Ukuran Buku Model Jenis Kertas Oplaag
: 15 x 21 cm : Informasi : Art Paper 150 gr : 2000 eksemplar
DISTRIBUSI : 1. Perusahaan Peserta Surabaya Hospital Expo 2. Peserta Seminar PERSI 3. Para Undangan Pembukaan Seminar PERSI dan Surabaya Hospital Expo 4. Peminat Umum DAFTAR HARGA IKLAN Posisi Cover Depan Dalam Cover Belakang Dalam Cover Belakang Luar 1 Halaman Dalam
Type Berwarna Berwarna Berwarna Berwarna Hitam Putih
Harga + PPN 10% (Rp) 4.400.000 5.500.000 6.600.000 3.300.000 2.200.000
ATURAN PEMESANAN : Pemesanan dilakukan dengan mengisi form dan dikembalikan melalui fax 021 58906819-20 Materi iklan dalam bentuk CDR, PSD, FreeHand atau JPEG & TIFF dengan resolusi 300 dpi sudah kami terima paling lambat satu bulan sebelum acara berlangsung. PEMBAYARAN MELALUI TRANSFER DITUJUKAN KEPADA : PT. OKTA SEJAHTERA INSANI BANK Danamon Indonesia, cabang Grogol BANK Central Asia KCU Kedoya Permai Acc No. : 27892090 Acc No. : 372 559 9999 HUBUNGI : PT. OKTA SEJAHTERA INSANI Bapak Abubakar Achmad Tel. 021 58907366-68 Fax. 021 58906819-20 Email:
[email protected]
FORMULIR PEMESANAN IKLAN ADVERTISEMENT FORM
11th Surabaya Hospital Expo, 21–23 April 2015, Shangri-La Hotel, Surabaya
To : Organizer | Fax : +62.21 58906819-20 Email. :
[email protected] Nama Name
: ...............................................................................................................
Jabatan Position
: ...............................................................................................................
Perusahaan Company
: ...............................................................................................................
Alamat Address
: ............................................................................................................... ................................................................................................................ Phone : ...................................................Fax.: …….................................
No. N.P.W.P
: ...............................................................................................................
Alamat N.P.W.P.
: ...............................................................................................................
Dengan ini menyatakan bahwa kami bersedia memasang iklan dalam : With here acknowledges that we are applying for the advertise in the : SURABAYA HOSPITAL EXPO XI‘2015 GUIDE BOOK Ukuran iklan : ............................................................................. Halaman/hitam putih/berwarna Adv. Size Page/black & white/colour Jumlah biaya : ……………………….................................................................................................... Total Amount
Abubakar Achmad Surabaya Hospital Expo
( .............................................) Signature/stamp of company
LOGO PADA REGISTRATION COUNTER Space logo yang tersedia : POSISI Logo Depan Logo Belakang
SIZE 80 x 80cm 42 x 42cm
Harga + PPN 10% (Rp) Rp. 3.000.000,Rp. 2.000.000,-
ATURAN PEMESANAN : Mengisi form dan dikembalikan melalui fax 021 58906819-20 Materi dalam bentuk JPG, TIFF, BMP 300 dpi Materi sudah kami terima paling lambat 10 April 2015 PEMBAYARAN MELALUI TRANSFER DITUJUKAN KEPADA : PT. OKTA SEJAHTERA INSANI BANK Danamon Indonesia, cabang Grogol BANK Central Asia KCU Kedoya Permai Acc No. : 27892090 Acc No. : 372 559 9999 HUBUNGI : PT. OKTA SEJAHTERA INSANI Bapak Abubakar Achmad Tel. 021 58907366-68 Fax. 021 58906819-20 Email:
[email protected]
FORMULIR PEMESANAN LOGO PADA REGISTRATION COUNTER
11th Surabaya Hospital Expo, 21–23 April 2015, Shangri-La Hotel, Surabaya
To : Organizer | Fax : +62.21 58906819-20 Email. :
[email protected]
Nama
: ..................................................................................................................................
Jabatan
: ..................................................................................................................................
Perusahaan : .................................................................................................................................. Alamat
: ................................................................................................................................. Phone : ............................................................Fax.: .................................................. Logo Depan ukuran 80 x 80 cm Logo Belakang ukuran 42 x 42 cm
N.P.W.P.
: ..................................................................................................................................
Alamat
: ..................................................................................................................................
PEMBAYARAN MELALUI TRANSFER DITUJUKAN KEPADA : PT. OKTA SEJAHTERA INSANI BANK Danamon Indonesia, cabang Grogol BANK Central Asia KCU Kedoya Permai Acc No. : 27892090 Acc No. : 372 559 9999
( ....................................................) Tanda tangan & Stempel Perusahaan
FORMULIR RESERVASI HOTEL
11th Surabaya Hospital Expo, 21–23 April 2015, Shangri-La Hotel, Surabaya
To : Organizer | Fax : +62.21 58906819-20 Email. :
[email protected] Nama
: 1. ......................................................................................................................... 2. .........................................................................................................................
Alamat
: ............................................................................................................................ Phone : .........................................................Fax.: ................................................
Check in tgl.
: ..................................................,
Check out tgl. : ................................................... Hotel Shangri-La Hotel Superior Rp. 1.300.000,-/malam Deluxe Rp. 1.650.000,-/malam
Kapasitas Kamar King Twin
Hotel Ciputra World ***** ( Lokasi dalam Mall ) Deluxe Rp. Rp. 1.100.000,-/malam
Smoking Room No Smoking Room
Hotel Paragon *** Superior Rp. 800.000,-/malam Deluxe Rp. 850.000,-/malam Pembayaran melalui transfer bank (FULL PAYMENT) PEMBAYARAN MELALUI TRANSFER DITUJUKAN KEPADA : PT. OKTA SEJAHTERA INSANI BANK Danamon Indonesia, cabang Grogol BANK Central Asia KCU Kedoya Permai Acc No. : 27892090 Acc No. : 372 559 9999
( .............................................) Signature/stamp of company
