EXHIBITORS REGISTRATION FORM

Please fill out and print the following form and fax it to us at [52-998] 882-1061. We will contact you with the cost of your stand and confirm your reservation

If it is more convenient, cut and paste the form into your email program or word processor and fill it out and send it to ventas@deconarq.com.

Company name: _____________________________________________

Tax number: _________________________________________

Address:_________________________________________________________

City:___________________State:____________________ZIP:_____Country______

Telephone(s):___________________________Fax:___________________________

Number of stands required:_______or_______square meters.

Indicate the numbers of the stands you prefer:

1st_________2st________3rd________4th________

Decription of business, product or service:________________________________

____________________________________________________________________

Purchasing executive or legal representative:______________________________________

Position:_______________________________________

Signature:______________________________________

Date:_________________