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INTEGRATED SYSTEMS EUROPE 2 - 4 FEBRUARY 2010, AMSTERDAM RAI, THE NETHERLANDS Produced and Managed By: Integrated Systems Events, LLC (ISE) www.iseurope.org Integrated Systems Europe 2010 c/o Regus Zuidplein 36 1077 XV Amsterdam The Netherlands t: +31 20 799 7734 f: +31 20 799 7801

Integrated Systems Europe 2010 57 Durleston Park Drive Great Bookham Surrey KT23 4AJ United Kingdom Tel: +44 1372 454366 Fax: +44 1372 453199

HOSTED BUYER PROGRAMME - SPONSORSHIP APPLICATION FORM By completing the following you are making a formal application for the below listed sponsorship opportunity or opportunities. This will become legally binding upon confirmation from the Integrated Systems Events, LLC. The person listed as exhibit contact will receive all mailings/billings relating to the sponsorship.

COMPANY NAME.…………………………………………………………………………………………………………………….…………………..……………. STREET………..…..……………………………………………………………………………………………………………………………………………………. TOWN……..……………………………………………………………………………………..…….. POST CODE………………..………………………………. TELEPHONE…………….…………………………………………………….… FAX………………….……………………………..…………………………….… EMAIL……………………………………………………………………………………………………………………………………………………………..………… CONTACT……………………………………………………………………….… SIGNATURE…………...………………………..…………………………….…

I WISH TO PURCHASE THE FOLLOWING HOSTED BUYER PROGRAMME SPONSORSHIP OPPORTUNITIES AT ISE 2010:2010: HOSTED BUYER PROGRAMME — UK ONLY (2 days)…………………………………………………. @ €3,000  HOSTED BUYER PROGRAMME — GERMANY ONLY (1 day)………….………………..…………... @ €3,000  HOSTED BUYER PROGRAMME — BOTH UK (2 days) & GERMANY (1 day)……………………. @ €6,000 Any other comments…………….……………………………………………………………………………………………………………………… …..…………………………………………………...…………………………………………………………………………………………….….…...….. PURCHASE ORDER NUMBER (if applicable) ………..…….…….………....………………………………………………..……..…….... Payment Required: Full payment for all Sponsorship opportunities is due in full no later than November 1st 2009. Applications received on or after November 1st 2009, will be invoiced immediately and payment will be due by return.

PAYMENT METHOD:  Bank Wire Transfer

 Invoice

 Charge Credit Card………………………………………………………………………… …… Card

Account Number.………………………………………………………………………………...………………Expiration Expiration Date….………...............….………................ Number Date Name as it appears on Credit Card (please print).…………………………………………………………………...……………………………………………………... print). Credit Card Billing Address..………..…..…………………………………………………………..…………..……………………………………………………………………. Address City / State / Zip / Country..………..…..…………………………………………………………………………….………………………………………………………………. Country Authorised Credit Card Signature..…..…………………………………………………………………………………………………………………..…………...…………… Signature Total Amount Enclosed / Charged to Credit Card………………………………………………………….……….euros euros Card


http://www.iseurope.org/kcms/UserFiles/File/ISE%202010%20-%20HBP%20-%20Application%20Form  

http://www.iseurope.org/kcms/UserFiles/File/ISE%202010%20-%20HBP%20-%20Application%20Form.pdf

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