Name

Department manager

Address

Contact person

Tel or Mobile

Post code

E-mail

Fax No.

Items

of

participation

_______Booth(es)

No.( )

Cost：

Raw space_ m2

Cost：

Expo-publication

Cost：

Other-advertisements

Cost：

others

Aggregate amount:

Date of payment:

Company and product introduction (No more than 200 words, for expo publication use, please attach the extra paper if the space is not enough)

Stamp of exhibitor：

Date：

Signature of exhibitor：

Signature of CIEHI organizing committee：