| First name:
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| Last name : |
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| As: |
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| COMPANY / INSITUTION / COMPANY |
| Company: |
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| RUC / VAC / NIF: |
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| Home address : |
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| P.O. BOX : |
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| City: |
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| State: |
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| Country: |
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| Telephone: |
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| Fax: |
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| E-mail: |
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| Website: |
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| INFO OF THE PERSON IN CHARGE OF THE PARTICIPATION AT THE EXHIBITION |
| Name: |
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| Telephone: |
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| Fax: |
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| E-mail: |
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Exhibitor´s name::
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(You will appear under this name in all our publicity elements) |
Sector:
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((Select type of activity) ) |
| Type of Interest in the Fair: |
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| SPACE APPLICATION-RATES |
| Number of exhibitors or brands: |
Minimum one exhibitor or brand |
| Dimension: |
m2 (possibilities: 9, 12, 18, 24, 30, 36, 42 m2 ...) |
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| Notes/Alterations: |
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| WAY OF PAYMENT |
| We pay the amount of USD.$ |
usd |
Check |
Transfer
(Send a copy to the fax: (593-2) 2447879) |
| Credit card: |
Visa |
Mastercard |
American Express |
| * Always in the name of HORITZO GRUP and the difference to pay with invoice. |
EXTRACT FROM THE PARTICIPATION RULES (Holder) AND PAYMENT |
| |
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The exhibitor agress with the EXPOMUNICIPAL´s participation rules mentioned above. |
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Application for participation 
