Organized by: 23rd International Fair of Products, Equipment, Services and Technology for Hospitals, Laboratories, Pharmacies, Health Clinics and Medical Offices HOSPITALAR Feiras, Congressos e Empreendimentos Ltda. May 17 - 20, 2016 ⃒ Expo Center Norte - São Paulo - BRAZIL Alameda Tocantins, 75- 13º/14º andar – Ed. West Gate 06455-020 Barueri - SP – BRAZIL FOR HOSPITALAR INTERNAL USE ONLY: Phone (55 11) 4878-5990 - Fax (55 11) 4689-1926 Located at:______ ______________ Hall – Aisle/Booth Nr.:____ _________________ Email: international@hospitalar.com.br - www.hospitalar.com Rep:___________ ______________ Registration Nr.:_________ _________________ In cooperation with MESSE DÜSSELDORF GmbH - Germany With copy to: APPLICATION FORM A. PARTICIPATION FEE - US$ 380.00 (three hundred and eighty US Dollars) per square meter - space only. It is included listing in the official catalogue (within established deadline) and website, basic electricity (0,07 KVA/m²), air conditioning of the pavilion (which is shared among the exhibitors) and the City Hall taxes. ITEM SPACE SIZE (*) SPACE ONLY m² COST PER SQUARE METER TOTAL COST - SPACE ONLY US$ 380.00 US$ (*) Minimum space for individual participation - 12m². B. MERCHANDISING OPPORTUNITIES PRODUCTS Logotype in the Official Catalogue - US$ 265.00 US$ Others - Option Nr. ______________ (please check all options numbers on Page 04) US$ C. FIRE EXTINGUISHER - Mandatory rental - fire extinguisher unit must reach an area of 25m² according to State Decree 38069/93, section17L, of CONTRU. ITEM Quantity - per 25sqm (1 minimum) Fire Extinguisher Unit(s) UNIT COST TOTAL COST – FIRE EXTINGUISHER US$ 38.00 US$ Total amount (A + B + C) D. US$ EXHIBITOR REGISTRATION TYPE OR USE CAPITAL LETTER COMPANY NAME: COMMERCIAL NAME (IF ANY AND IF DIFFERENT FROM ABOVE): NAME TO BE SHOWN ON THE FLOOR PLAN (MAXIMUM 15 CHARACTERS): ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ COMPLETE ADDRESS: CITY: ZIPCODE: COUNTRY: TELEPHONE: TELEFAX: E-MAIL: WEBSITE: PRODUCTS (TECHNICAL DESCRIPTION): BRANDS: PERSON IN CHARGE: POSITION IN THE COMPANY: E-MAIL: We undertake to pay the total amount by bank transfer, according to the invoice and instruction from HOSPITALAR. We confirm our participation in HOSPITALAR 2016 - International Fair of Products, Equipment, Technology and Services for Hospitals, Laboratories, Pharmacies, Health Clinics and Medical Offices – from 17 to 20 of May 2016, at the Expo Center Norte, in São Paulo, Brazil. Signature by client: Signature of acceptance by organizer: Date: Date: FOR HOSPITALAR INTERNAL USE ONLY: ________________________________________________________________________________________________ IMPORTANT T This Application Form shall be deemed accepted only upon written confirmation from the organisers. The exhibitor will receive complete information and instructions for the payment of the participation fee and the exhibitor manual concerning the fair. Products to be exhibited must be listed separately on the official form. This Application Form is in accordance to the Terms and Conditions. Payment conditions: 20% immediate payment (upon receipt of invoice), 80% on December 04th, 2015. After this date, 100% immediate payment (upon receipt of the Invoice). Failure to make immediate payment means your stand position will be released. 23rd International Fair of Products, Equipment, Services and Technology for Hospitals, Laboratories, Pharmacies, Health Clinics and Medical Offices May 17 - 20, 2016 ⃒ Expo Center Norte - São Paulo – BRAZIL LI ST OF EXHIBITS Identify if your company has products for the following simultaneous events: D I A G N O S T I C A - Clinical Analysis and Pathology DIGITAL HEALTH - IT H O S P F A R M A - Pharmacy (ONE OPTION ONLY) Identify in which main segment your company acts: Accident and Emergency Equipment Rehabilitation and Orthopedic Equipment Laundry and Cleaning Building Technology & Services Pharmaceutical Supplies Ophthalmic Supplies Catering and Kitchen Equipment Services and Publications Furniture and Equipment Communication and Information Technology Medical Consumables Nutrition Diagnostics Electro Medical Equipment Textiles Disinfection and Disposal Systems Laboratory and Clinical Equipment Instruments Identify specific products within all the following segments your company acts, for classification in the Hospitalar website and official catalogue: ACCIDENT AND EMERGENCY EQUIPMENT ELECTRO MEDICAL EQUIPMENT Ambulances and rescue vehicles Anesthetic equipment Anatomic models Blood pressure equipment First aid devices and equipment Diagnostic instruments and apparatus Medical simulators and equipment Dialysis equipment Others Electro cardiograph and accessories BUILDING TECHNOLOGY & SERVICES Electro surgical instruments Floor and wall systems Endoscope Gas and compressed air systems Heated Cradles Generators Imaging equipment and processors Maintenance Incubators Revetment Infusion Security systems Infusion pump Others Laparoscopy CATERING AND KITCHEN EQUIPMENT Cleaning Kitchen equipment and appliances Logistics equipment and transport Others COMMUNICATION AND INFORMATION TECHNOLOGY Laser surgery equipment Magnifying lenses Nuclear medicine Otoscopes Patient monitoring systems Phototherapy Radiotherapy equipment Data processing equipment and systems Respiratory and oxygen equipment Database management Suction devices Software Surgical instruments Websites Ultrasound equipment Others Video laparoscopy DIAGNOSTICS Ward and examination equipment and devices Clinical chemistry X-ray devices and accessories Hematology/Histology/Cytology Others Immunology PHARMACEUTICAL SUPPLIES Microbiology Medicines Stimulation tests Others Others 2 23rd International Fair of Products, Equipment, Services and Technology for Hospitals, Laboratories, Pharmacies, Health Clinics and Medical Offices May 17 - 20, 2016 ⃒ Expo Center Norte - São Paulo – BRAZIL LI ST OF EXHIBITS DISINFECTION AND DISPOSAL SYSTEMS LABORATORY AND CLINICAL EQUIPMENT Disinfection: installation, products and systems Analyzer appliances Recycling systems Centrifuges Sterilization Evaluation appliances Others Gynecology REHABILITATION AND ORTHOPEDIC EQUIPMENT Microscopes Bandages Sealing machines for sterilization Car, traffic and transport Shaking and mixing units Compression therapy Others Orthopedic aids LAUNDRY AND CLEANING Physiotherapy Laundry collectors and machines Walking, wheelchairs and mobility aids Laundry repair and labeling equipment Others Washing up machines SERVICES AND PUBLICATIONS Association Banks Washing Others OPHTHALMIC SUPPLIES Certification Cryosurgical systems Clinical Engineering Intra ocular lenses Consulate Laser and accessories Education Ocular prosthetics Financing Ophthalmoscopes Foundation Vision screening Home Care Others Insurance FURNITURE AND EQUIPMENT Literature Baby units equipment and apparatus Publication Bathrooms Syndicate Casters and wheels Training Examination and treatment rooms Others Furnishing and equipment for day rooms MEDICAL CONSUMABLES Gynecology Anti-bedsore mattresses Hospital cushions Cannulas Internments Catheters Operating theatres: furniture, equipment and apparatus Electrodes Pillows Filters Others Gel NUTRITION Gloves Enteral or Oral Humidifiers Others Incontinence aids Papers Sterilization papers Suture Tubes Uniforms Others TEXTILES Bed linen Patient Professional Others INSTRUMENTS General Instruments Others 3 23rd International Fair of Products, Equipment, Services and Technology for Hospitals, Laboratories, Pharmacies, Health Clinics and Medical Offices May 17 - 20, 2016 ⃒ Expo Center Norte - São Paulo – BRAZIL MERCHANDISING AND SPONSORSHIP OPPORTUNITIES Option Number PRINTED PRODUCTS OFFICIAL EXHIBITOR DIRECTORY 1 AD 2nd COVER........................................................................................................................................................................................................... US$ 3,280.00 2 AD 3rd COVER........................................................................................................................................................................................................... US$ 2,900.00 4th 3 AD 4 AD – INDETERMINATE PAGE 4 COLORS.............................................................................................................................................................. COVER............................................................................................................................................................................................................ US$ 3,820.00 US$ 2,460.00 5 AD – INDETERMINATE DOUBLE PAGE 4 COLORS............................................................................................................................................. US$ 3,700.00 HOSPITALAR MAGAZINE – PRE-SHOW EDITION 6 AD – 1 INDETERMINATE PAGE.............................................................................................................................................................................. US$ 5,645.00 7 AD 2nd COVER........................................................................................................................................................................................................... US$ 6,120.00 8 AD 3rd COVER........................................................................................................................................................................................................... US$ 5,440.00 9 AD – ¹/2 INDETERMINATE PAGE........................................................................................................................................................................... US$ 4,300.00 10 AD ON BASEBOARD INDETERMINATE PAGE...................................................................................................................................................... US$ 3,360.00 4th 11 AD COVER........................................................................................................................................................................................................... US$ 7,150.00 12 CHARTERED MAP ON THE PRE-FAIR MAGAZINE – AD 4th COVER.................................................................................................................... US$ 3,210.00 13 CHARTERED MAP ON THE PRE-FAIR MAGAZINE – HIGHLIGHTED LOGOTYPE…………………………………………………………..………… US$ 2,340.00 14 CHARTERED MAP ON THE PRE-FAIR MAGAZINE – LOGOTYPE IN YOUR LOCATION.……………………………………………………….…… US$ 515.00 HOSPITALAR MAGAZINE – POST-SHOW EDITION 15 AD 2nd COVER........................................................................................................................................................................................................... 16 AD 3rd COVER............................................................................................................................................................................................................ US$ 5,440.00 US$ 6,120.00 17 AD 4th COVER........................................................................................................................................................................................................... US$ 6,800.00 18 AD – INDETERMINATE PAGE 4 COLORS.............................................................................................................................................................. US$ 3,935.00 OFFICIAL FAIR MAP 19 AD – FAIR MAP......................................................................................................................................................................................................... US$ 3,300.00 20 LOGOTYPE ON BOOTH LOCATION...................................................................................................................................................................... US$ 21 AD 4th COVER.............................................................................................................................................................................................................. US$ 6,275.00 22 DETACHED LOGOTYPE……………....................................................................................................................................................................... 480.00 US$ 2,175.00 ONLINE PRODUCTS - HOSPITALAR.COM WEBSITE 23 ROTATIVE FULL BANNER........................................................................................................................................................................ 24 SUPERIOR BANNER (LEFT AND RIGHT)............................................................................................................................................... US$ 520.00/month (each) US$ 1,100.00/month 25 BANNER ON E-LETTER………………………............................................................................................................................................. 26 HOSPITALAR VIRTUAL SHOWCASE (WEBSITE, MULTIMEDIA TOTEM AND APP)................................................................................... US$ 2,470.00/ month US$ 1,050.00/year PAVILION PRODUCTS 27 TOTEM SIGN…................................................................................................................................................................................................ US$ 1,375.00/totem 28 INTERNAL HANGING BANNER................................................................................................................................................................... 29 COLUMN PANEL…………………….............................................................................................................................................................. US$ 1,200.00/column 30 ROUND FLOOR ADHESIVE......................................................................................................................................................................... US$ 1,375.00/adhesive 31 RETANGULAR FLOOR ADHESIVE............................................................................................................................................................. US$ 1,145.00/adhesive 32 FLOOR ADHESIVE AT THE PAVILION EXIT/ENTRANCE.................................................................................................................................. US$ 2,320.00/adhesive US$ 2,230.00 YOUR LOGO IN FOCUS 33 LOGOTYPE IN THE BOOTH LOCATION OF THE “THE BIG MAP”.............................................................................................................................US$ 515.00 34 LOGOTYPE IN THE COLUMN PANEL...................................................................................................................................................................... US$ 515.00 35 PACKAGE TO HIGHLIGHT YOUR LOGOTYPE ON THE MATERIALS WITH BOOTH LOCATION………………………………………………….... US$ 1,835.00 40,000 FAIR MAPS/45,000 PRE-FAIR MAGAZINE/6 “THE BIG MAP”/20 COLUMN PANELS 4