advertisement order formiis-prague2018.cz/assets/pdf/advertisementform.pdf · 2017. 10. 24. · one...

AdvertisementOrderFormContact Information

Company / Organization

Address

Invoice Address (if differs from the above)

VAT Registration No.

We are not VAT registered

Web address

Contact person

Phone / mobile

E-mail

Advertisement Description Price $ Order*

Logo and short text Company logo (with the link) and 100 words will be placed on website and in Book of Abstracts 500

Book of Abstracts Back cover color page (one page available) 1,000

Inside cover color page (two pages available) 750

One page color advertisement inside the book 500

Bag Logo on Symposium bag (one color, 9 available) 150

Addition of company novelty items into the bag 300

TOTAL PRICE

* Fill in the price indicated in the previous column Name Position Signature Send the filled form by E-mail to dr. Pavel Drasar ( Pavel.Drasar@vscht.cz ). Payment instructions: Bank: Komercni banka a.s. Address: Na Prikope 33, Praha 1 Account owner: Ceska spolecnost chemicka Address of owner: Novotneho lavka 5, 11668 Praha 1, Czech Republic Account number: 115-3831960217/0100 IBAN: CZ8701000001153831960217 BIC SWIFT: KOMBCZPPXXX Invoice will be sent upon receiving the filled Advertisement Order Form. Placement of ads on Symposium website will be done upon receiving the payment. Receipt of the payment will be sent upon request.