Taiwan Int'l Senior Lifestyle and Health Care Show 2009

NO: ACT6504000191

APPLICATION FOR EXHIBIT SPACE

Bold text must be answered

In which area are you going to exhibit：
Mobility Aids	Daily Living Aids
Home Care and Institutional Services	Green Environmental Products
Health Food and Dietary Supplements
Beauty & Recreation	Media

We Requirement：

booths(s) (3mx3m)

Company Name：

Address：

Country：

Person to contact：

Mr. Ms.

Position：

Tel：

Fax：

E-mail：

Web site：

Products or Services to be displayed：
(Refer to attached Exhibit Profile and fill in the codes of your exhibits in the blanks below) Choice
1.	2.	3.
4.	5.	6.
7.	8.
other：(please specify)

Agent or representative in Taiwan, if any:

Company Name：

Contact person：

Mr. Ms.

Position：

Tel：

Fax：

E-mail：

web：

We have read and agree to act in compliance with all rules and regulations made by

TAITRA in connection with this show.