Conference and Fair for Analysis, Distribution and Treatment Technologies Veronafiere 23-24 October 2012 The italian vertical event of reference

Signup Form • Home • Catalogue 2011 • General information • Product Areas • Contacts • Who we are Signup Form You can purchase up to 6 pre-fitted, customisable exhibition booths (16 sq.mts.). Number Type Unit price 1 1,5 2 3 4 5 6 Exhibition booth* 0 1 2 3 1 workshop 35’ My company is exempt from Italian VAT   Total   *2% cumulative discount for each booth purchased subsequent to the first one. Deposit 250 € to be paid with the signup form; balance to be paid 30 days before the event. Billing information * Name * Last Name * Business name * Address * Zip * Town * Telephone    Fax * E-mail * Province/State - AGRIGENTO ALESSANDRIA ANCONA AOSTA AQUILA AREZZO ASCOLI PICENO ASTI AVELLINO BARI BELLUNO BENEVENTO BERGAMO BIELLA BOLOGNA BOLZANO BRESCIA BRINDISI CAGLIARI CALTANISSETTA CAMPOBASSO Carbonia-Iglesias CASERTA CATANIA CATANZARO CHIETI COMO COSENZA CREMONA CROTONE CUNEO ENNA FERRARA FIRENZE FOGGIA FORLI FROSINONE GENOVA GORIZIA GROSSETO IMPERIA ISERNIA LA SPEZIA LATINA LECCE LECCO LIVORNO LODI l'Ogliastra LUCCA MACERATA MANTOVA MASSA CARRARA MATERA Medio Campidano MESSINA MILANO MODENA Monza Brianza NAPOLI NOVARA NUORO Olbia-Tempio Pausania ORISTANO PADOVA PALERMO PARMA PAVIA PERUGIA PESARO PESARO-URBINO PESCARA PIACENZA PISA PISTOIA PORDENONE POTENZA PRATO RAGUSA RAVENNA REGGIO CALABRIA REGGIO EMILIA REPUBBLICA DI SAN MARINO RIETI RIMINI ROMA ROVIGO SALERNO SASSARI SAVONA SIENA SIRACUSA SONDRIO TARANTO TERAMO TERNI TORINO TRAPANI TRENTO TREVISO TRIESTE UDINE VARESE VENEZIA VERBANIA VERCELLI VERONA VIBO VALENTIA VICENZA VITERBO * Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands CCte ddIvoire Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (DRC) Cook Islands Costa Rica Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka SSo Tomm and Prrncipe St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands Virgin Islands (British) Wallis and Futuna Yemen Zambia Zimbabwe * VAT number *required fields Consent for data processing. In accordance with article 13 of the Legislative Decree no. 196/03 of the Italian "Privacy Act", EIOM, as the entity responsible for data processing, informs you that your data may be processed, with the aim of sending you promotional and information material related to our event and pertaining to your presence at the event. Your consent is totally optional and not granting it only prevents you from availing of the above indicated services. The entity responsible for your data is EIOM, viale Premuda, 2, 20129 Milan, tel+39.02.55181842, fax +39.02.55184161, e-mail: eiom@eiomfiere.it. Mr. Alessio Rampini has been designated as manager of data processing. Please address all requests for information on your data or on your above indicated rights to alessio.rampini@eiomfiere.it Consent for data processing The exhibition booth includes: • Exhibition space • Pre-fitted structure • Carpeting • Sign board • Lighting • Table, 2 chairs, waste basket • Insurance • Daily cleaning • Electricity • Heating • Surveillance and security • Listing in official printed catalogue • Listing in official online catalogue • Exhibitor entrance passes • Personalised visitor pre-registration service • Advertising tax inside the booth • One copy of the official catalogue • 1 reserved parking space