The XXII Asian andOceanic Congress of Obstetrics and Gynecology

September

Taipei, Taiwan23 27, 2011-

SSPONSORSHIP AND PONSORSHIP AND TRADE EXHIBITION BROCHURETRADE EXHIBITION BROCHURE

AO FOG TAOG

Website: www.aocog2011.org.tw

1INVITATIONDear Partners:

Thank you for your interest in supporting AOCOG 2011. On behalf of the Taiwan Association of Obstetrics and Gynecology (TAOG), we would like to extend our warmest invitation to you to join the XXII Asian and Oceanic Congress of Obstetrics and Gynecology (AOCOG 2011), which is going to be held at Taipei International Convention Center, Taipei, Taiwan from September 23 to 27, 2011.

The 2011 Congress will bring together more than 1,600 participants in Taipei under the theme, New Frontiers in Womens Health. The Congress program includes 4 full days of symposia, lectures and presentations along with a Welcome Reception for all delegates on the fi rst evening, a Gala Dinner on the last evening and an expansive Trade Fair Exhibition operating throughout the entire program.

This much awaited event offers the opportunity for organizations/companies to be directly involved by way of sponsorship. Specifi c benefi ts to sponsors are outlined in this brochure and have been tailored to appeal to a wide variety of marketing objectives. No matter your level of involvement, you are guaranteed to enjoy:

Direct Market Access:Its where your opportunities are get your message directly to 1,600+ participants

Cost-effective Investment:Our sponsorship packages ensure good value for your financial investment sponsoring the conference costs less than an one-page advertisement in a trade magazine or major newspaper!

Brand Exposure:Increase your brand awareness AOCOG 2011 is the perfect platform building and broadening your corporate profi le.

Expanding Partnerships and Networks:Access your target market, establish business relationships and increase your sales by meeting potential customers face-to-face.

Networking with your partners:Extend your market reach and potential partnerships by contributing to and participating in the Congress social events.

We believe your support and participation in AOCOG 2011 will result in more direct opportunities for your business, saving your organization time and money. We heartily invite you to join us to make AOCOG 2011 even more successful with your support and presence!

Sincerely yours,

Yu-Shih Yang, M.D., Ph.D.President,Organizing Committee of AOCOG 2011Vice President,AOFOG

Horng-Der Tsai, M.D., Ph.D.Vice President,Organizing Committee of AOCOG 2011President,Taiwan Association of Obstetrics and Gynecology

2Congress InformationDate Congress: September 23 27, 2011Exhibition: September 24 27, 2011

VenueCongress: Taipei International Convention Center (TICC), Taipei, TaiwanExhibition: Taipei World Trade Center (TWTC), Taipei, Taiwan

Preliminary Program

pei Taiwan

Date

Time

September September September September September

23 24 25 26 27FRI SAT SUN MON TUE

8 :00

Parallel Symposium:30

9 :00

AOFOG Council Meeting

I

President's LectureP

oste

r Disp

lay &

Exh

ibitio

n

CT Hsu Memorial Lecture

Po

ster D

ispla

y &

Exh

ibitio

n

SS Ratnam Memorial Lecture

Po

ster D

ispla

y &

Exh

ibitio

n

Plenary Lecture

Po

ster D

ispla

y &

Exh

ibitio

n

:30

10 :00Coffee Break Coffee Break Coffee Break Coffee Break

:30

Plenary Lecture Plenary Lecture Plenary Lecture Plenary Lecture11 :00

:30

12 :00

Luncheon Symposium

Luncheon Symposium

Luncheon Symposium

Luncheon Symposium:30

13 :00

Oral Presentation Oral Presentation

Oral Presentation&

Young Gynecologist Award (YGA) Presentation

Oral Presentation

:30

14 :00

:30

15 :00 Coffee Break

AO

FO

G G

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era

l Asse

mb

ly I

Coffee Break AOFO

G C

ou

ncil M

eetin

g II

Coffee Break

AO

FO

G G

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ly II

Coffee Break

:30

Parallel Symposium

Parallel Symposium

Parallel Symposium

Closing Ceremony

16 :00

:30

New Council Meeting

17 :00

:30

18 :00Opening

Ceremony:30

19 :00

Welcome Reception President's Night Gala Dinner

:30

late

3SPONSORSHIP PACKAGES OVERVIEW

EntitlementsPlatinum Sponsor

NTD 3,000,000(Appx. USD 93,750)

Gold SponsorNTD 2,200,000

(Appx. USD 68,750)

Silver Sponsor NTD 1,200,000

(Appx. USD 37,500)

Bronze Sponsor NTD 750,000

(Appx. USD 23,440)

Opportunity 1 2 3 4

Exhibition Space(Raw Space Only) 72 sqm 36 sqm 18 sqm 18 sqm

Complimentary Booth Staff Registrations 8 4 2 2

Complimentary Delegate Registrations 8 4 2 2

Promotional Opportunity One Luncheon SymposiumOne Luncheon

Symposium _ _

Advertisement in Congress Program Handbook

Full Page ColorBack Cover

Full Page ColorInside 2nd Page of Cover

Page

Full Page ColorInner Page

Half Full ColorInner Page

Advertisement in Exhibition Handbook

Full Page ColorBack Cover

Full Page ColorInside 2nd Page of Cover

Page_ _

Insert(s) in the Congress Satchel 2 1 1 _

One Page Company Profi le in Exhibition Handbook Yes Yes Yes Yes

Acknowledgement in Congress Program

HandbookAs Platinum Sponsor As Gold Sponsor As Silver Sponsor As Bronze Sponsor

Acknowledgement on Congress Website with Hyperlink to company

website

Yes Yes Yes Yes

Final Delegate's List Yes Yes Yes Yes

Note: USD 1 = NTD 32.5; JPY 1 = NTD 0.356; EUR 1 = NTD 46.54 (subject to change).

4SPONSORSHIP PACKAGESPlatinum Sponsor (one opportunity) NTD 3,000,000

Complimentary exhibition space - shell scheme booth of 72 sqm (raw space only)1. Eight (8) complimentary booth staff registrations2. Eight (8) complimentary delegate registrations (including welcome reception & gala dinner)3. One (1) luncheon symposium opportunity4. One (1) complimentary full page color advertisement on back cover in Congress Program and 5. Exhibition BookTwo (2) inserts in the congress satchel (material to be provided by the sponsor)6. One page company profi le in Exhibition Book7. Acknowledgement as platinum sponsor in Congress Program8. Acknowledgement as platinum sponsor on Congress website with hyperlink to company website9. Final participant list (will be provided on October 1, 2011)10.

Gold Sponsor (two opportunities) NTD 2,200,000Complimentary exhibition space - shell scheme booth of 36 sqm (raw space only)1. Four (4) complimentary booth staff registrations2. Four (4) complimentary delegate registrations (including welcome reception & gala dinner)3. One (1) luncheon symposium opportunity4. One (1) complimentary full page color advertisement on inside 25. nd page of cover page in Congress Program and Exhibition BookOne (1) insert in the congress satchel (material to be provided by the sponsor)6. One page company profi le in Exhibition Book7. Acknowledgement as gold sponsor in Congress Program8. Acknowledgement as gold sponsor on Congress website with hyperlink to company website9. Final 10. participant list (will be provided on October 1, 2011)

Silver Sponsor (three opportunities) NTD 1,200,000Complimentary exhibition space shell scheme booth of 18 sqm (raw space only)1. Two (2) complimentary booth staff registrations2. Two (2) complimentary delegate registrations (including welcome reception & gala dinner)3. One page company profi le in Exhibition Book4. One (1) complimentary full inner page color advertisement in Congress Program5. One (1) insert in the congress satchel (material to be provided by the sponsor)6. Acknowledgement as sliver sponsor in Congress Program7. Acknowledgement as sliver sponsor on Congress website with hyperlink to company website8. Final 9. participant list (will be provided on October 1, 2011)

Bronze Sponsor (four opportunities) NTD 750,000Complimentary exhibition space - shell scheme booth of 18 sqm (raw space only)1. Two (2) complimentary booth staff registrations2. Two (2) complimentary delegate registrations (including welcome reception & gala dinner)3. One page company profi le in Exhibition Book4. One (1) complimentary half inner page color advertisement in Congress Program5. Acknowledgement as bronze sponsor in Congress Program6. Acknowledgement as bronze sponsor on Congress website with hyperlink to company website7. Final 8. participant list (will be provided on October 1, 2011)

5ExhibitionTrade Exhibitor (with standard booth) NTD 200,000

(with raw space only) NTD 150,000 Opportunity to showcase company products & distribute promotional materials at the trade 1. exhibitionStandard shell scheme Booth of 9 Sqm (3m3m) 2. Two (2) complimentary booth staff registrations3. Exhibitor name listed on Congress website with hyperlink to company website4. Exhibitor name printed in acknowledgement page of Congress Program 5. Final 6. participant list (will be provided on October 1, 2011)

Publications Congress Satchel (one opportunity) NTD 600,000

Sponsor name & logo printed on the front of the congress satchel (provided by organizer)1. One (1) insert in the congress satchel (material to be provided by the sponsor) 2. One (1) complimentary delegate registration (including welcome reception & gala dinner)3. Sponsor name printed in acknowledgement page of Congress Program4. One page company profi le in Exhibition Book 5. Sponsor name listed on Congress website with hyperlink to company website 6.

Congress Name Badge (one opportunity) NTD 350,000Sponsor name & logo printed on strap of the Congress name badge1. One (1) complimentary delegate registration (including welcome reception & gala dinner)2. Sponsor name printed in acknowledgement page of Congress Program3. One page company profi le in Exhibition Book4.

Congress Pen & Writing Pad (one opportunity) NTD 300,000Sponsor name & logo printed on congress pens & writing pads 1. Sponsor name printed in acknowledgement page of Congress Program2. One (1) complimentary delegate registration (including welcome reception & gala dinner)3. One page company profi le in Exhibition Book4.

Congress Abstract USB Driver (one opportunity) NTD 250,000Sponsor name & logo printed on congress abstract USB drivers1. Sponsor name printed in acknowledgement page of Congress Program2. One (1) complimentary delegate registration (including welcome reception & gala dinner)3. One page company profi le in Exhibition Book4.

6Advertisements Inside front cover page in the Congress Program1. NTD 150,000Inside back cover in the Congress Program2. NTD 120,000Inside front cover in the Exhibition Book3. NTD 100,000Inside back cover in the Exhibition Book4. NTD 80,000Full inner page color in the Congress Program 5. NTD 65,000Half inner page color in the Congress Program6. NTD 30,000Insert in the Congress satchel7. NTD 40,000

Color Advertisements on Congress Flag (8 fl ags maximum)4 fl ags on one side of the 1F escalator inside TICC1. NTD 150,0004 fl ags on both sides of the 1F escalator inside TICC (8 fl ags total)2. NTD 280,000

Services

Internet Corner (two opportunities) NTD 250,000Rental of the required space for the hosting of the internet corner1. Provision of all necessary equipment at 10 stations (laptops, routers, modems, hubs, etc)2. Internet connection (hi-speed)3. One (1) complimentary delegate registration (including welcome reception & gala dinner)4. Sponsor name printed in acknowledgement page of Congress Program and on banner at 5. internet cornerAdvertisement at laptop desktop (at internet corner)6. Opportunity to provide corporate notepads and pens at internet corner7.

Preview Room (one opportunity) NTD 200,000Rental of the required space for the hosting of the preview room1. Provision of all necessary equipment at 15 stations (laptops, routers, modems, hubs, etc)2. Internet connection (hi-speed)3. One (1) complimentary Delegate Registration (including welcome reception & gala dinner)4. Sponsor name printed in acknowledgement page of Congress Program and on banner at 5. preview roomAdvertisement at laptop desktop (at preview room)6. Opportunity to provide corporate notepads and pens at preview room7.

Morning and Afternoon Tea (four opportunities) NTD 200,000Tea and coffee will be served within the trade exhibition area on one day of the meeting1. Sponsor name printed in acknowledgement page of Congress Program and on banner at the 2. break areaOpportunity to provide fl yers at the catering desks3.

Photo: Advertisement FlagSponsor Advertisement Here

7Promotional OpportunitiesLuncheon Symposium (60 minutes duration)

with 500 person capacity (one opportunity) NTD 500,000 with 180 person capacity (four opportunities) NTD 200,000

Rental of the venue (3F Banquet Hall for 500 person capacity and 4F VIP Room for 180 person capacity)1. Lunch boxes will be provided2. Main display sponsor logo on the banner3. Two (2) complimentary delegate registrations (including welcome reception & gala dinner)4. Sponsor name printed in acknowledgement page of Congress Program and Exhibition Book5.

Note: Luncheon symposium topics should be approved by the Organizing Committee

Website Banner (three opportunities) NTD 50,0003 sponsors LOGOs revealed on the webpage banner when visitors click on the sponsor and 1. exhibitors icons3 sponsors banners will be shown in rotation untill the Congress website closes2. Sponsor name printed in acknowledgement page of Congress Program and Exhibition Book3.

Exhibition InformationVenue Map

8Taipei World Trade Center (TWTC) Floor Plan

Exhibition Hall 1, Area A

9General Information for ExhibitorsExhibition Times:

9 a.m. - 5 p.m., September 24-26, 2011 9 a.m. - 3:30 p.m., September 27, 2011

Move In and Move Out Dates:

Move in: 10 a.m. - 5 p.m., September 23, 2011Move out: 3:30 p.m. - 6 p.m., September 27, 2011

Shell Scheme Specifi cationStandard Shell Scheme

Standard Booth Contents Description

Space 9 sqm (3x3)

Wall Panels On all closes sides

Carpet Total stand area

Fascia board with Company Name & Stand Number (English) On all open sides (Aisle facing)

Reception Table 1

Foldable Chair 2

Spotlight 3

Standard Electricity Supply (500W, 110V) 1

2-Plug Electrical Socket 1

10

Exhibition Regulations

Booth Cleaning

The organizer is responsible for daily cleaning of public areas and passageway only.Exhibitors have to take care of the cleanliness of their own booths.

Security and Insurance

While every reasonable precaution is taken in regard to ground security, the organizer accepts no responsibility for any loss or damage which may befall the person or property of the exhibitor regardless of cause.

Exhibitors are also advised to insure their exhibits for the time their goods are in storage. The organizer is not liable for any damage, loss, distress or harm caused to any person or to any persons property on the exhibition ground regardless of cause.

Exhibit LimitationsTwo exhibitors badges are allotted for each booth. These serve as entry passes to the Exhibition Hall and must be worn for entry into the showground. Additional booth staff badges are available at NTD 12,000 each. Please see the Sponsor and Exhibitor Application Form.

Exhibitors booth partitions can be only erected to a height of 250 cm.Advertising materials such as signs, posters and other advertising decorations can be only erected to a height of 400 cm.

Exhibitors must remove all exhibits from the Exhibition Hall within the move-out period stipulated by the Congress Secretariat. Exhibitors will be held responsible for any loss or damage to Exhibition Hall due to delayed removal.

For all questions and orders, please contact:

Round Table PCO, c/o Liana LIANG Round Table PCO, c/o Han CHIANG Telephone: +886-2-25081825 ext.115 Telephone: +886-2-25081825 ext.117Email: service@aocog2011.org.tw Email: service@aocog2011.org.tw

11

SPONSOR AND EXHIBITOR APPLICATION FORM Please submit the Sponsor and Exhibitor Application Form no late than July 31, 2010.

1. Sponsor / Exhibitor InformationCompany Name: Company Website:

Contact Person: Title: Mr. Ms.Department: Position:

Email:

Address: City:

State/Province: Zip/Postal Code: Country:

Telephone:(including country/city code)

Fax: (including country/city code)

Company Seal: Date (mm/dd/yy):

2. Sponsorship OptionWe hereby agree to sponsor the AOCOG 2011 which will be hold on September 23-27, 2011 in Taipei, Taiwan

[Please select the following option and tick in ]Categories Opportunity Price (NTD)

Platinum Sponsor 1 3,000,000Gold Sponsor 2 2,200,000Silver Sponsor 3 1,200,000Bronze Sponsor 4 750,000

Trade ExhibitorStandard Booth (3*3) Unit : __________ 200,000Raw Space (Space Only) Unit : __________ 150,000

Publications

Congress Satchel 1 600,000Congress Name Badge 1 350,000Congress Pen & Writing Pad 1 300,000Congress Abstract USB Driver 1 250,000

Advertisements

Inside Front Cover in the Congress Program 1 150,000Inside Back Cover in the Congress Program 1 120,000Inside Front Cover in the Exhibition Book 1 100,000Inside Back Cover in the Exhibition Book 1 80,000Full Inner Page Color in the Congress Program Limited 65,000Half Inner Page Color in the Congress Program Limited 30,000Insert in the Congress Satchel Limited 40,000

Color Advertisements

on Congress Flag

4 fl ags on one side of the 1F escalator 2(If 8 fl ags did not sold out)

150,000

8 fl ags-four on each side of the 1F escalator 1 280,000

ServicesInternet Corner 2 250,000Preview Room 1 200,000Morning and Afternoon Tea 4 200,000

12

2. Sponsorship Option (Contd)Luncheon

Symposium500 Person Capacity 1 500,000180 Person Capacity 4 200,000

Promotional Opportunities Website Banner 3

50,000

Total Payment NTD____________________

3. Booth IntormationLocation Preferences (Subject to organizers discretion)

Please specify booth number in order of preference: 1st____________ 2nd____________

Booth Staff Registration Amount : _______ 12,000

Number of Passes Required:

Name of Stand Representative (Please fi ll in the following columns):

No. Given Name Family Name No. Given Name Family Name

1. 9.

2. 10.

3. 11.

4. 12.

5. 13.

6. 14.

7. 15.

8. 16.

4. Fascia BoardPlease TYPE or PRINT in CAPITAL LETTERS, ensure that it matches the name you provide in Sponsor and Exhibitor Application Form

The following is the correct name to appear on the fascia board of our stand

Fascia Name in English (Within 30 characters)

Only Company name maximum of 30 characters is included in the standard booth equipment and no logos are included. Reproduction of the logo is at the exhibitors expense. Please see Appendix 1 - Additional Appliance Request.

Unless this form is returned 30 days prior to the opening date of the exhibition, the name which is fi lled in Sponsor and Exhibitor Application Form will be used on the fascia. Any changes to the company name on the fascia after this deadline will be charged additionally.

5. Payment InformationPayment Method

Installments First 30% of the payment shall be paid before August 31, 2010.

Another 30% will be due on January 31, 2011.

The remaining 40% will be due on May 31, 2011.

13

5. Payment Information (Contd) Regulations

To safe-guard the rights and benefits of sponsors / exhibitors, Congress principles of sponsorship management is according to the reply date of Sponsor and Exhibitor Application Form and Sponsor rank, and all payment must be done by the payment method.

No reservation will be confi rmed until payment is received.

A pro forma invoice will be issued to the sponsors / exhibitors once payment is verifi ed.

Any payment made will not be refunded under any circumstances.

Sponsorships are allocated on a Higher-level, Higher-priority and First-come, First-served basis.

Please submit the Sponsor and Exhibitor Application Form no late than July 31, 2010.

Foreign Account- Bank Details for FOREIGN SPONSOR / EXHIBITOR (International Wire Transfer)

Please fax or email your bank transfer receipt to the Congress Secretariat to confi rm your payment

Benefi ciary Name Taiwan Association of Obstetrics and Gynecology Benefi ciary Account No. 0598441001008Benefi ciary Bank E.Sun Commercial Bank, Ltd., Taipei, TaiwanBenefi ciary Address NO. 48, MIN CHUAN W. RD., CHONGSHAN DISTRICT, TAIPEI 104, TAIWAN, R.O.C.SWIFT Code ESUNTWTPIntermediary Bank BOFAUS6SLocal Account - Bank Details for TAIWAN LOCAL SPONSOR / EXHIBITOR (Domestic Wire Transfer/) Please fax or email your bank transfer receipt to the Congress Secretariat to confi rm your payment

Benefi ciary Name Benefi ciary Account No. 05989401304000

Benefi ciary Bank --Benefi ciary Address 10448Deadlines

Submitting the companys logo fi le in Adobe Illustrator (High resolution) - Before May 31, 2011

Submitting advertisements for the Congress Program and Exhibition Book (Adobe Illustrator / PDF fi le is suggested)

- Before May 31, 2011

Submitting the program and confi rmed speakers of the Luncheon Symposium - Before July 31, 2011

Submitting the inserts for the Congress Satchel - Before September 21, 2011

Exhibitor Privileges

Exhibitor may access the: 1. Exhibition Area 2. Welcome Reception 3. Coffee Breaks

Exhibits Imported on a Deposit or Duty-paid Basis

Exhibits brought in on a deposit or duty-paid basis must be handle by the exhibitors agent or representative in Taiwan who will act as a consignee and who be responsible for any and all custom duties.

Terms & Regulations

When registered for AOCOG 2011, participants agree to follow all existing regulations.

Once submitted the application form is submitted and confi rmed by the Congress Secretariat, the contract will be established and come into effect.

Violations of the regulations may result, in the exclusion of the transgressors upon decision of the Congress Secretariat. No claims for damages will be accepted.

14

AOCOG 2011 Congress Secretariat - ROUND TABLE PCO CO., LTD.

Telephone: +886-2-2508-1825 ext. 112 Jojo CHUNG (Ms.) / ext. 117 Han CHIANG (Ms.)

Fax: +886-2-2508-3570

Email: service@aocog2011.org.tw

Website: www.aocog2011.org.tw

Address: 10F., No.29, Sec.3, Nanjing E. Rd., Zhongshan District, Taipei City 10487, Taiwan, R.O.C

IMPORTANT

I have read and understand the Terms and Conditions offered by AOCOG 2011.

Signature: Date:

For Offi cial Use Only

Date Received:Total Payment:Booth No.:Confi rmation:Invoice:

15

APPENDIX - ADDITIONAL APPLIANCE REQUESTNo Item Size (L*W*H) Unit Price (NTD)

1 Show Case 100*100*100/75/50cm ( ) / ( ) / ( ) 1,4002 Show Case 100*50*100/75/50cm ( ) / ( ) / ( ) 1,1003 Show Case 50*50*100/75/50cm ( ) / ( ) / ( ) 1,0504 Triangle Show Case 100*100*100/75/50cm ( ) / ( ) / ( ) 1,3005 Triangle Show Case 50*50*100/75/50cm ( ) / ( ) / ( ) 1,0506 2M 1/4 Arch Show 50*50*75/100cm ( ) / ( ) 1,4007 1M 1/4 Arch Show 50*50*75/100cm ( ) / ( ) 1,0508 Peg Board 90*180cm 1,1009 Shelf 100*30cm 35010 Glass Shelf 100*30cm 60011 Reception Desk 100*50*75cm 85012 Round Table 70/90cm ( ) / ( ) 1,000 / 1,30013 Folding Chair 40*40*45cm 35014 Arm Chair 1,00015 Bar Chair 1,00016 Stack Chair 1,15017 Coffee Table 1,00018 Folding Door ( ) / ( ) 1,000 / 2,10019 Refrigerator 48*48*88cm 4,80020 Meeting Table 180*60cm 1,50021 Leafl et Holder 1,30022 ADSL 1,80023 Cutting Plot English within 20cm 70 / word 24 Cutting Plot Chinese within 20cm 100 / word25 Name Card Box Buyout 1,15026 Carpet 3*3m Brand New/80%New ( ) / ( ) 1,800 / 1,50027 DM Stand 50*50cm 1,00028 Copper Pillar 1,00029 T-shape Hook 8cm/10cm ( ) / ( ) 40 / 5030 Iron Net 90*180 65031 Plant L /M / S ( ) / ( ) / ( ) 600 / 550 / 50032 LOGO < 50cm 1,80033 TV Shelf 70*70*100 1,00034 Jewellery Counter H250cm / H100cm ( ) / ( ) 3,800 / 2,10035 Spotlight 100W / 300W ( ) / ( ) 500 / 1,000

16

No Item Size (L*W*H) Unit Price (NTD)

36 Arm Light 100W / 300W ( ) / ( ) 550 / 1,05037 Light 40W 55038 Down Light 100W 55039 Jewellery Light 100W 1,10040 Haloid Light 500W 1,00041 Socket 110V / 220V (5A) ( ) / ( ) 600 / 1,00042 Transformer 1,10043 Locker H75*W100*50(Depth) 1,200

44Power Supply(subject to change)

110V 5A (500W) 1,300110V 15A (1,500W) 1,700110V 20A (2,000W) 1,900110V / 190V 4KW 4,200110V / 190V 6KW 7,900110V / 190V 9 KW 12,000110V / 190V 15 KW 15,000110V / 190V 22 KW 18,000

Total Additional Appliance Rental NTD________________

+) 5% TaxNTD________________

=) Total AmountNTD______________

Exhibitor InformationCompany Name: Company Website:

Contact Person: Title: Mr. Ms.Department: Position:

Email:

Address: City:

State/Province: Zip/Postal Code: Country:

Telephone:(including country/city code)

Fax: (including country/city code)

Company Seal: Date (mm/dd/yy):

If you need any equipment that is not listed in the table, please contact the secretariat to specify your requirements.

For each additional appliance ordered on site, the rates quoted above would increase accordingly.

For the Additional Appliance Request payment, please wire transfer to the following account:

Bank Details (Wire Transfer)

Benefi ciary Name ROUND TABLE PCO CO., LTD

Benefi ciary Account No. 0417-440-009910

Benefi ciary Bank E. Sun Commercial Bank Chung Shan Branch

Benefi ciary Address No. 145, Zhong Shan N. Rd., Sec.1, Taipei, Taiwan, R.O.C.

SWIFT Code ESUNTWTP

Congress Secretariat Round Table PCO Contact person: Ms. Han CHIANG

Phone: +886-2-2508-1825 ext.117

Fax: +886-2-2508-3570

Email: service@aocog2011.org.tw

Address: 10F, No.29, Sec.3, Nanjing E. Rd., Zhongshan District, Taipei 104, Taiwan, R.O.C.

Hosted by:

Co-organizers:

Taiwan Urogynecology Association

Taiwanese Society forReproductive Medicine

Taiwan Society of Perinatoloy

Taiwan Association for Minimally Invasive Gynecology

Taiwan Association of Gynecologic Oncologists

Taiwan Menopause Medical Association

The Society of Ultrasound in Medicine, Republic of China

TAOG

Taiwan Association of Obstetrics and Gynecology

RoR und Contact pers

Phone: +886