Application Form Main Exhibitor



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Application Form Main Exhibitor Please complete in full and return by mail or register online at /application Start of space allocation: April 13, 2015 info@analytica.de, Phone +49 89 949-20381, Fax +49 89 949-20389 GmbH, Messegelände, 81823 München, Germany Company address (billing address) Company Department Street / P. O. Box Start of space allocation April 13, 2015 Postal code Town VAT ID No. (required by VAT legislation) Country Number and place of company registration Official company representative / Title First name Last name Homepage Manufacturer (1) Dealer (2) Importer (3) Distributor with exclusive selling rights for Germany (4) Service company (5) (multiple responses possible) Member of the following trade association/s (optional) Contact person (staff member in the company) Title First name Last name Area code Phone Fax Job function e-mail (personalized) Response required. Please check: Applicants who are established in Germany or in the European Union: In the case of the given applicant, his/her company carries out business-related activities autonomously for the purpose of earning income on a sustainable basis (Art. 9 MwStSystRL). The applicant herewith declares that he/she is sourcing the services provided by GmbH for his/her company. Applicants who are foreign government agencies (ministries, embassies, consulates etc.) wishing to let space to co-exhibitors in exchange for payment: The applicant is considered a business enterprise (even without a VAT ID number) according to Art. 2 para. 3 of the UStG. Applicants who are established in a country outside the European Union: In the case of the given applicant, his/her company carries out business-related activities autonomously for the purpose of earning income on a sustainable basis (Art. 9 MwStSystRL). The applicant herewith declares that he/she is sourcing the services provided by GmbH for his/her company. Neither of the above declarations is applicable. In such cases, GmbH will charge for its services plus statutory German sales tax even if the given applicant is established abroad. Address for correspondence (differing address only not different invoice recipient) Company Street / P. O. Box Job function Title First name Last name Postal code Town Area code Phone Fax Country e-mail (personalized) For differing invoice recipient, please complete form (see page 2).* Trade show decision-maker Title First name Last name e-mail (personalized) Press contact (optional) Title First name Last name e-mail (personalized)

Application Form Main Exhibitor Start of space allocation: April 13, 2015 If possible, which companies would you like to have as neighbors? If possible, which companies would you prefer NOT to have as neighbors? If possible, same placement as in 2014? Yes No Two-storey stand construction planned? Yes No (no legal entitlement to allocation of specific stand space) (Upper floor space is charged at 50% of the respective ground floor rate) Remarks concerning stand location Booth space only (w/o structures) Hall (minimum size 20 m²) Row stand EUR 198 / m² 1 side open Corner stand EUR 231 / m² 2 sides open End stand EUR 237 / m² 3 sides open Island stand EUR 244 / m² 4 sides open Front m x depth m = Total space m² Complete stand packages all in one (incl. stand space, see Terms of Participation B 3) Type Innovation 12 m² Row stand EUR 3,996 Corner stand EUR 4,572 Type Innovation 16 m² Row stand EUR 5,392 Corner stand EUR 6,032 Type Atrium 20 m² Row stand EUR 6,880 Corner stand EUR 7,590 Type Light 20 m² Row stand EUR 7,490 Corner stand EUR 8,050 Forum (exhibitors only) Yes, I am interested in a ½-hour company presentation (EUR 850 see Terms of Participation B 3) The exhibits registered and displayed at the fair are our property: Yes No Please check in the product index under which product category/focal area of activity your exhibits should be listed. *Different invoice recipient Due to value-added tax legislation requirements, GmbH can only issue or rewrite invoices to an invoice recipient other than the exhibitor, if the recipient is GmbH s contractual partner concerning the services to be charged. If the exhibitor wants to designate the invoice recipient as the contractual partner of GmbH instead of him/her, he/she can request the appropriate form at projektleitung@productronica.com. The form should be completed and signed with legally binding effect and returned to GmbH. If GmbH has already rendered services to the exhibitor at the time of receipt of the request form, GmbH will have to bill these services to the exhibitor. Response required. Please check: The Participation Terms A and B as well as the Technical Guidelines are recognized as legally binding in all parts. Place and date Company stamp and legally binding signature. Please repeat name in print.

Index of products and services Main exhibitor (no catalog entry form) Please indicate in which one of the three exhibition categories you wish to exhibit. Please also indicate the sector within that main category which is the focus of your sales activities. Laboratory technology Laboratory apparatus Laboratory automation equipment Laboratory data systems and documentation Laboratory equipment Reagents and chemicals Occupational safety/ health and safety in the workplace Analysis and quality control Instrumental analysis Microscopes and optical image processing Industrial process control Materials testing Quality control in the pharma sector and industry Biotechnology and life sciences/ laboratory diagnostics Diagnostics in medical research Equipment for biotechnology Biocomputing Biochemicals Laboratory technology for biotech and life sciences Bioprocess engineering Bioanalysis Industrial biotechnology Financing tools/ risk capital in biotechnology 1 Applications 1.1 Industrial analysis 1.2 Manufacturing chemistry 1.3 Foodstuff analysis 1.4 Cosmetic analysis 1.5 Pharmaceutical analysis 1.6 Clinical analysis 1.7 Medical analysis 1.8 Insecticide analysis 1.9 Environmental Analytical Applications 1.10 Trace analysis 1.11 Solid analysis 1.12 Surfaces, thin coatings 1.13 Special applications 2 Analytik 2.1 Analysis equipment 2.2 Chromatography 2.3 Chromatography accessories 2.4 Spectroscopes 2.5 Spectroscopy accessories 2.6 Photometers 2.7 Detectors 2.8 Microscopes and optical image processing 2.9 Accessories for microscopy and optical image processing 2.10 Optical analysis equipment 2.11 Linked systems 2.12 Microwave systems 2.13 Sample Preparation 2.14 Lab-on-a-chip 3 Test and measurement and quality control 3.1 Measuring/testing of geometric parameters 3.2 Mechanical parameters 3.3 Physical parameters 3.4 Time and time-based parameters 3.5 Thermal units 3.6 Electrical parameters 3.7 Optical parameters 3.8 Radioactive parameters 3.9 Chemical and biological parameters 3.10 Materials testing 3.11 Software for quality assessment 4 Information and services 4.1 Specialized information, databases 4.2 Literature 4.3 Patents, license agencies 4.4 Further education and training 4.5 Contract research and development 4.6 Contract analysis 4.7 Waste disposal and recycling

Index of products and services Main exhibitor (no catalog entry form) Please indicate in which one of the three exhibition categories you wish to exhibit. Please also indicate the sector within that main category which is the focus of your sales activities. 5 Laboratory apparatus 5.1 Laboratory equipment and machines 5.1.1 Thermal equipment 5.1.2 Mechanical equipment 5.1.3 Isolating technology 5.1.4 Reaction equipment 5.1.5 Dosing systems 5.1.6 Balances 5.1.7 Laboratory automation equipment 5.1.8 Laboratory technical equipment 5.1.9 Accessories 5.1.10 Laboratory equipment, special production 5.2 Laboratory data systems, documentation and software 5.3 Image analysis and processing 5.4 Laboratory technology and equipment 5.4.1 Gas technology 5.4.2 Safety technology 5.4.3 Pumps, conveyors and connectors 5.4.4 Cleaning equipment 5.4.5 Drying equipment 5.4.6 Centrifugation systems 5.4.7 Supplies and consumables 5.4.8 Laboratory equipment 5.4.9 Vendor products 5.4.10 Laboratory services, miscellaneous 5.4.11 Technical service 5.4.12 Occupational safety/health and safety in the workplace 6 Reagents, chemicals 6.1 Reagents/analyzers for chemistry 6.2 Reagents/analyzers for diagnostics 6.3 Reagents/analyzers for clinical chemistry 6.4 Reagents for foodstuff analysis 6.5 Reagents for water analysis 6.6 Reagents for genetic engineering 6.7 Certified reference materials 6.8 Other reagents 6.9 Chemicals 6.10 Bulk chemicals 6.1 Fine chemicals 6.12 Isotopes 7 Biotechnology 7.1 Biotechnology applications 7.1.1 Tissue Engineering 7.2 Procedures 7.3 Electrophoresis 7.4 Equipment for biotechnology 7.4.1 PCR 7.5 Antibodies 7.6 Substances, cultures 7.7 Biosensors 7.8 Biocomputing 7.9 Biochemicals 7.10 Laboratory technology for biotech and life sciences 7.11 Screening 7.12 Drug discovery 7.13 Nanotechnology/Microsystems technology 7.14 Genomics 7.15 Proteomics 7.16 Metabolomics 7.17 Sterilization technology 7.18 Industrial biotechnology 7.19 Bioprocess/Biochemical Engineering 7.20 Information and services for biotechnology 8 Medicine/public health 8.1 Diagnostics 8.2 Diagnostic equipment 8.3 Assays and kits 8.4 Medical chemistry 8.5 Clinical chemistry 8.6 Toxicology 8.7 Forensic chemistry 8.8 Virology 9 Young professionals, Start-up Forum 9.1 Technology transfer 9.2 Innovation consulting 9.3 Financial services/risk capital 9.4 Joint ventures 9.5 Consulting for new companies/ marketing consulting 9.6 Job center

Sales regions Please help us to gear visitor promotion for analytica 2016 to exhibitors needs by completing and returning this form to us with your application. Which continents/countries do you target as export markets? Europa EU Rest of Europe Is your company represented in the People s Republic of China? Yes No America North America United States Canada Brazil Mexico South/Central America Is your company represented in India? Yes No Africa Asia ASEAN member states (selection) Indonesia Singapore Malaysia Thailand Philippines Vietnam China Hong Kong People s Republic of China Taiwan India Japan Middle East Russia South Korea Other Is your company represented in Vietnam? Yes No Headquarters of parent company with full address and country: Australia/Oceania