Form no. 1
Information about the exhibit
(invention, utility model, production prototype, know-how)
1. Author or patent holder of the industrial property object
(in Russian language and in transliteration), age
______
2. Exhibit’s name:______
______
3. Exhibit’s description: (products, services, usefulness, technical description and commercial use ______
______
4. Form of presenting the exhibit (underline the proper one): placard, model, prototype, production sample.
5. Form of the industrial property object:______
(invention, utility model, production prototype)
______No.______date______
certificate, patent
6. Invention category as per Salon’s classification system:______
7. Evaluation of the industrial property object (project) in roubles: ______
8. Required investments (investment object, potential strategy of implementation): ______
9. Commercial proposal: ______
______
______Responsibility for providing false information bears the person, who fills up this Form.
“____”______200 . Signature______
Information about the participant:
1.Family name______name______patronymic name______
2.Legal person, whose representative is the participant:______
______
3. Address of the legal person (postal and e-mail):______
______
Classification system of the Salon
01. Pollution control and environment protection
02. Human safety, protection and rescue
03. Aviation, aerospace industry
04. Automobile industry and road safety
05. Land, sea and air transport
06. Industrial equipment
07. Chemical and gas-oil processing industry
08. General machine-building industry
09. Metallurgy
10. Electricity and power electronics
11. Power engineering
12. Radio - Television – Long-distance communication
13. Office equipments – Information science
14. Polygraphy, advertisement and mass media
15. Games - Sports- Culture - Leisure
16. Goods, gifts
17. House-hold equipment
18. Textile industry and garments
19. Hygienics and cosmetics
20. Medicine and health-care service
21. Agricultural and food industry
22. Construction and equipment of residential and non-residential premises
23. Communal services
24. Robotics
25. Innovation business
26. Working instruments
27. Lifting transportation equipments
28. Packing and storage
29. Legal support (patent protection of intellectual property objects)
30. Miscellaneous
Organizer
/ Limited Liability Company, Center for promotion of development of invention and rationalization All-Russian society of inventors and rationalizes (VOIR)»Shcherbakovskaya St. 53, Bld. B, Moscow 105187, Russia; t/f: 7 (495) 366-03-44, 366-14-65
e-mail: ,
Bank: Mejprombank Plus 23 build. 1, Bolshaya Dmitrovka Street, 125009 Moscow, Russia
Current currency account: № 40702840600004774601 (dollars)
Transit currency account: № 40702840900004774602 (dollars)
Current currency account: № 40702978200004774601 (euro)
Transit currency account: № 40702978500004774602 (euro)
INN/KPP 7718116607/775001001 OGRN 103773936533 BIK 044579235
Corresponding account: № 30101810600000000235
CONTRACT-APPLICATION FOR PARTICIPATION
in the 12th Moscow International Salon of Industrial Property “Archimedes –2009”
(31st March – 3rd April, 2009 г.)
Name of the organization or of physical person :
Words on the panel
Tel: / Fax: / e-mail:Chief of the organization:
Legal address:
Correspondence address:
TIN no. / Settlement acc. no.
BIN no. / Loro account no.
Bank
The participant guarantees the payment: / Price excluding VAT / Quaintily / Costs
Registration fee* / 130 USD
for 1 exhibit / qty.
Standard equipped space (not less than 4 m2) / 125 USD for 1 m2. / m2.
Not-equipped space / 95USD for 1 m2. / m2.
Additional facilities name and price are entered according to the price list submitted by the Organizer
1) / qty.
2) / qty.
Placing information about exhibits in the catalogue (for participants not renting the space; not more than 600 symbols) / 100 USD
for 1 exhibit / qty.
Placing advertisements in the catalogue (Colored page) / 400 USD for a page / qty.
Participation in business programs of the Salon ** / 100 USD per person / person(s)
Participation by correspondence *** / 130 USD
for 1 exhibit / qty.
Total
VAT 18%
TOTAL
*The registration fee includes:
· Placing the description of 1(one) invention in the exhibition catalogue (up to 600 symbol) and also on the WEB site of the Salon (in Russian and English versions with photographs as per will).
· Provisions: 2 badge-pass enabling participation in all Salon events (conferences, round-table discussions, presentations, seminars, fourchettes, awarding ceremonies, fourchette.); badge of the Salon participant; 1 copy of the Salon catalog; 1 copy of the Salon official program; 5 invitation tickets to the Salon; 1 diploma of the Salon participant and information-advertising materials.
· Participation of 1(one) exhibit in the Salon contest program in appropriate nomination.
** Participation in the Salon business program includes:
Provisions: 1 badge-pass enabling participation in all Salon events (conferences, round-table seminars), 1 copy of the Salon program.
*** Correspondence participation includes:
Placing information about exhibit in the catalogue (max 600 symbols), participation of 1 (one) exhibit in the Salon contest program in appropriate nomination, 1(one) copy of Salon catalog and 1 (one) diploma of the Salon participant.
Applications (two copies) are to be submitted till 20 February 2009.
Payment is to be made in Euro.
The bill is drawn within 10 bank days.
The Organizer accepts materials for work only after complete payment of the bill.
In case of refusal of participation in the Salon less than 30 days before its official opening the Participant pays to the Organizer penalty amounting to 50% of the contract price.
Hereby the Participant reconfirms his intention to participate in the Salon and acknowledges all clauses of the present contract.
The Participant: The Organizer:
Chief of the organization: General Director of the Limited Liability Company, Center for
promotion of development of invention and rationalization All-Russian society of inventors and rationalizes (VOIR)»
Signature ______/______/ Signature ______/Zezyulin D./
Stamp Stamp
Date “______”______200