BÉNÉFIQ 2016 | Exhibitor

BOOTH RESERVATION FORM

* Fields with a red asterix are mandatory.

*Name of the organization:

*Phone number

Fax

*Address 1

Address 2

*City

*Postal/Zip Code

*Country/Region

*Province/State

Billing address

As it appears on your credit card statement

Same as above

*Address 1

Address 2

*City

*Postal/Zip Code

*Country/Region

*Province/State

*Origin

Province of Québec

Canada (Outside Québec)

Outside Canada

CONTACT INFORMATION

The contact person will receive all the communications and details regarding BÉNÉFIQ exhibition (contract, invoice and/or receipt, Exhibitor's Guide, etc.).

*Greeting

Mr. Mrs

*First name

*Last name

*Title

*Organization

*Phone number

Fax

*Email

*Email confirmation

EXHIBITOR'S PROFILE

At this step, we ask you to provide information that will be used in various communication tools at the BÉNÉFIQ convention, such as the official program, the exhibitors' list, the exhibition plan, the mobile application, etc.

*OFFICIAL EXHIBITOR'S DISPLAY NAME
The information below will be used by the Conference for all communication (floor plan, signage, program, etc.)

Logo
Please upload the organization's logo in .eps or .ai format here:

Organization's Presentation
Please write a BILINGUAL short text on your organization (maximum 100 words total, about 50 words in French and 50 words in English) here:

Organization's Presentation in FRENCH
About 50 words

Organization's Presentation in ENGLISH
About 50 words

Activity sector of your organization:

Organization's website:

STAND TYPE SELECTION

To see all the details about the stand package available, clic here.

INDIVIDUAL STAND Innovation Showcase	$2,500	- Two desks per space - Two exhibitor accreditations - One registration to the conference
GROUP STAND* Innovation Showcase	$1,500	- One stand inside a regional or sectorial group (min. 5) - One exhibitor accreditation - One registration to the conference *With an agreement with the host organization only, click here for more information.
STAND FOR START-UP Tech Transfer Place	$1,000	- A personalized stand in the Tech Transfer Place - A table and two stools - One exhibitor accreditation

PLEASE NOTE:

The rental of each stand is conditional to the acceptation by the organizing committee of BÉNÉFIQ.
The location of the stands and the twinning will be decided by the organizing committee of BÉNÉFIQ based on availability. Your exact space will be announced to you later on.

*Stand type selection:
Prices are in canadian dollars and exclude applicable taxes. Any additional services and equipment should be ordered with the official provider of the convention.

Individual Stand - $2,500

Group Stand - $1,500

Stand for start-up - $1,000

*Name of the group you will be attached to:

Name of the group:

I don't know the name of the group that I am attached to.

OTHER ACTIVITIES

*I intend to take part in the business meetings (B2B) and networking
(Tuesday, October 4th, 2016, 1:00 PM to 5:00 PM):

Yes No

*I intend to take part in one of the following academic and industrial tours
(Tuesday, October 4th, 2016, 1:00 PM to 5:00 PM):
Please note that this activity is free, but for the sake of good management, we want to know the number of participants.

Yes, South shore Tour (AVRIL - Supermarket, Pharmalab, AgBio Centre, Transbiotech)

*I intend to take part in the FUN RUN
(Thursday, October 6, 2016, at 6:15 AM):
Please note that this activity is free, but for the sake of good management, we want to know the number of participants.

Yes No

EXHIBITOR ACCREDITATION

The reservation of an Individual Stand entitles you to two (2) accreditations.
The reservation of a Group Stand entitles you to one (1) accreditation.
The reservation of a Stand for start-up entitles you to one (1) accreditation.

If you already know the name of the representatives who will benefit from the accreditations included, please fill out the section below. Otherwise, this information would be requested later.

1st Representative

First name

Last name

2nd Representative (only for the reservation of an individual stand)

First name

Last name

ADDITIONAL EXHIBITOR ACCREDITATIONS

If you want to buy additional exhibitor accreditation(s), please select one of the option below:
Only includes the access to the showroom

1st Additional Representative

First name

Last name

2nd Additional Representative

First name

Last name

Promotional code:
If you have a promotional code, enter it here and press APPLY.

Subtotal:

GST:

QST:

Total:

Please select the payment method:

*Card number

*Name on the card

*Expiration

*Card Security Code (CVC)

If payment is made by credit card, it will appear under AGORA COMMUNICATION on your credit card statement. A confirmation notice will follow shortly. If payment is made by cheque, an invoice will follow shortly with the pertinent information. Payment must be received in full upon reception of the invoice. All payments must be in Canadian dollars (CAD) and drawn from a Canadian bank.

CANCELLATION POLICY

Cancellations must be sent in writing, either by fax at 1 418 658-8850, or by email benefiq-exposition@agora-event.com. Requests for modification of location options are considered as a cancellation and, therefore, cancellation fees apply. The following cancellation fees apply to any contract cancellation or modification requests by the exhibitor:

50% of the total amount of the contract if the cancellation request is recieved by the organizer before or on August 1st, 2016
100% of the total amount of the contract if the cancellation request is recieved by the organizer after August 1st, 2016

The refund will be processed after the event.

By cliking on "SUBMIT", I declare having read, understood and accepted the cancellation policy.