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Exhibitor Appointed Contractor (EAC) Application Form Shanghai China Deadline: January 21, 2011 March 15-17, 2011 Please complete this form by January 21, 2011 and return to: Ms. May Pu, SEMI China Tel: +86.21.5027.0909*202 / Fax: +86.21.5027.4829 / Email: may@semi.org.cn

Form

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Please submit this form along with your Final Booth Drawings indicating height & width measurements and location of the main power supply. Dear Organizer: We propose to use the EAC named below in connection with our exhibit at SEMICON China 2011. We understand and agree that our EAC will abide by all show rules and regulations including those outlined in the Exhibitor Appointed Contractor (EAC) rules and regulations. We or our EAC will submit this form along with the final booth drawing. Exhibitor Appointed Contractor (EAC) Information Contractor Company Name: ______________________________________________________________ Contact Person: ______________________________ On-Site Mobile Phone: _______________________ City: ______________ State/Province: ______________ Country: ________________ Zip: ____________ Address: ______________________________________________________________________________ Phone: (

) ________________ Fax: (

) _____________ Email: _________________________

Describe type of services to be performed on-site: _____________________________________________________________________________________ Will the above named company be performing: On-site service? Yes □No □

Supervision? Yes □ No □

If no to the above, describe the function of your EAC: __________________________________________

Exhibitor Information Exhibiting Company Name: _______________________________________________________________ Contact Person: ______________ On-Site Mobile Phone: _______________ Booth Number: __________ City: ______________ State/Province: ______________ Country: ________________ Zip: ____________ Address: ______________________________________________________________________________ Phone: (

) ________________ Fax: (

) _____________ Email: _________________________

Signature: ______________________________________

Date: _________________________

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