Sponsor & Exhibitor registration Title*MrMsMrsName contact person* First Middle Last Organization*Address* Street Address City ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Phone Number*We would like to host a table-top booth. We are:MinacNed member €2000,- excl. VATNon-member €3500,- excl. VATWe would like to host a table-top & workshop. We are:MinacNed member €2500,- excl. VATNon-member €4250,- excl. VATWe would like to be a Gold Sponsor. We are:MinacNed member €3000,- excl. VATNon-member €4500,- excl. VATWe are a start-up and we would like to make use of the start-up package:This special proposition is only available for companies with a maximum registration of three years at the chamber of commerce, counted from the day the registration form is signed. Start-up package €650,- excl. VATBilling addressOnly fill in the information below if the billing address differs from the postal address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Name contact person administration First Middle Last Email contact person administration VAT numberPurchase order numberiMNC19 - Dec 10 & 11GENERAL CONDITIONS FOR FHI/MINACNED EVENT PARTICIPATIONTerms of Conditions - APPENDIX ATable-top packageThe table-top package has a booth space of 3 meters wide by 2 meters deep, a table, to chairs and an electricity point with 220 volts. It's possible to place an organization background wall, as long it's within the booth space and does not impede the fellow exhibitors. If you would like to place side walls, you have to contact the organization MinacNed to discuss the possibilities. Table-top booth & Workshop packageThe date and time of the workshop will be set in consultation with the organization MinacNed and the program me committee. The organization that registered themselves for the table-top & workshop package will be charged for this package. This package gives them the opportunity to give a joint workshop with max. 2 other organizations that have registered a table-top booth on the iMNC19 exhibition floor. Only the registered organization with the table-top booth and workshop will have their logo shown in the iMNC19 publications (website/ newsletter/ programme). Required facilities for the workshop will go in consultation with the organization, extra items such as screens are for own costs.Start-up packageThis special proposition is only available for companies with a maximum registration of three years at the chamber of commerce, counted from the day the registration form is signed. If you have registered to the start-up package, but are not entitled to this package, costs for the regular table-top booth package will be charged.Terms of conditions - APPENDIX BARTICLE 1. PARTICIPATION, PAYMENT, CANCELLATION Registration for participation in the event can only take place by means of the FHI/MINACNED registration form. Participation is based on the order of receipt of registrations until the maximum number of participants is reached. Registrations above the set maximum are entered on a waiting list, if requested. The participant will receive the invoice for the costs of participation 1 month before the event starts. The participation costs must be paid according to the payment terms stated on the invoice. If no specific terms are shown on the invoice, the participant shall pay within thirty (30) days of the date of invoicing. Cancellation of participation may only be done in writing. 'In writing' includes electronic communications. Up to 4 weeks before the start of the event the cancellation charges are 50% of the participation amount. If cancellation is made after this, the full participation costs must be paid.ARTICLE 2. CHANGES TO DATE AND LOCATION In the case of insufficient registrations FHI/MINACNED reserves the right to change the event location or cancel the event. The participant will be notified accordingly at the latest four weeks before the event. In consultation with the participants, FHI/MINACNED may change the date set for the event, or decide that the event will not go ahead. If the event does not go ahead, any participation costs paid by the participant will be reimbursed. Under no circumstances shall FHI/MINACNED be liable for any damage incurred by changing or cancelling (the date) of the event. ARTICLE 3. PUBLICITY A participant who registers for the event by means of the registration form will be listed as such in communications made by FHI/MINACNED for the event, for example, showing the company name on the website and list of participants. After the event the participant will receive the attendee list, with visitor name and e-mail address and company name and address, provided the relevant explicit permission was obtained. ARTICLE 4. LIABILITY Goods at the event location and associated areas are at the expense and risk of the participant. The participant is liable for and must take out adequate insurance against any damage of whatever nature. The participant is liable for any damage suffered by FHI/MINACNED as a result of a shortcoming attributable to the participant, including the failure to comply (properly and in time) with any provision of these conditions and/or other regulations and instructions. The participant indemnifies FHI/MINACNED with respect to claims from third parties, including the event location. FHI/MINACNED is not liable for any damage suffered directly or indirectly by the participant, its personnel or visitors, including consequential damage, loss of profits and damage resulting from theft, destruction or any other cause, unless FHI/MINACNED can be accused of intent or gross negligence in this regard.ARTICLE 5. RULES OF CONDUCT FHI/MINACNED determines the layout and size of the exhibition area allocated to the participant. The participant is required to use the allocated exhibition area in a manner in keeping with the purpose for which it has been allocated. It is not permitted to place and distribute materials (flyers, brochures, etc.) in the catering areas, on tables, reception desks and any other places outside the exhibition area. Terms of conditions* I have read and agreed to the terms of conditions (Appendix A and B) written above