esmo satellite symposia services order form

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Q&A chat function Live Q&A view set-up (only one can be chosen): a) GRID view b) Presentation + GRID view Presenter title, first name and last name: c) Video + GRID view For both options b) & c), please attach the timeline (i.e. when the video or presentation should run) Live Q&A recording Live Q&A recording bolted on to the satellite symposium Company Name: Email address for your account: Contact Person: Mobile Phone: Company Name: Contact Person: VAT Number: PO Number: Street: ZIP: City: Country: Place, Date, Signature: Important Information: All prices quoted are subject to German VAT: 19%. For an intra-Community supply of services, the tax liability is based on the European VAT Directive of the recipient via (reverse-charge procedure) and the prices are calculated without VAT, as long as the tax ID is provided. Payment conditions: 100% and 10 days after receipt of invoice. If payments are delayed, we have no obligation to deliver the service. Payment by wire transfer only. ESMO SATELLITE SYMPOSIA SERVICES ORDER FORM Submission deadline: 19 July 2021 COMPANY NAME Please fill, scan and return to: SATELLITE SYMPOSIUM DEDICATED VIRTUAL SPACE (On-Demand) Extra services at own expense Extra services at own expense Price per unit Price per unit Order Order SATELLITE SYMPOSIUM SLOT NUMBER ESMO Congress 2021 Secretariat [email protected] Lead retrieval Evaluation (queries need to be provided by the company) Evaluation (queries need to be provided by the company) Lead retrieval Polling (queries need to be provided by the company) €250.00 €1,500.00 €1,500.00 €250.00 €1,500.00 Yes Yes Yes Yes Yes N/A JMarquardt Technologies GmbH Felix-Wankel-Str.1 82152 Krailling, Germany VAT-ID: DE277993926 Included services Enable Disable SATELLITE SYMPOSIUM AND LIVE Q&A STREAMING Please fill in the following fields for your account: Please complete your invoice details:

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Page 1: ESMO SATELLITE SYMPOSIA SERVICES ORDER FORM

Q&A chat function

Live Q&A view set-up (only one can be chosen):

a) GRID view

b) Presentation + GRID view

Presenter title, first name and last name:

c) Video + GRID view

For both options b) & c), please attach the timeline (i.e. when the video or presentation should run)

Live Q&A recording

Live Q&A recording bolted on to the satellite symposium

Company Name:

Email address for your account:

Contact Person: Mobile Phone:

Company Name: Contact Person:

VAT Number: PO Number:

Street: ZIP: City: Country:

Place, Date, Signature:

Important Information:All prices quoted are subject to German VAT: 19%. For an intra-Community supply of services, the tax liability is based on the European VAT Directive of the recipient via (reverse-charge procedure) and the prices are calculated without VAT, as long as the tax ID is provided.Payment conditions:100% and 10 days after receipt of invoice. If payments are delayed, we have no obligation to deliver the service. Payment by wire transfer only.

ESMO SATELLITE SYMPOSIA SERVICES ORDER FORMSubmission deadline: 19 July 2021

COMPANY NAME

Please fill, scan and return to:

SATELLITE SYMPOSIUM DEDICATED VIRTUAL SPACE (On-Demand)

Extra services at own expense

Extra services at own expense

Price per unit

Price per unit

Order

Order

SATELLITE SYMPOSIUM SLOT NUMBER

ESMO Congress 2021 [email protected]

Lead retrieval

Evaluation (queries need to be provided by the company)

Evaluation (queries need to be provided by the company)

Lead retrieval

Polling (queries need to be provided by the company)

€250.00

€1,500.00

€1,500.00

€250.00

€1,500.00

Yes

Yes

Yes

Yes

Yes

N/A

JMarquardt Technologies GmbHFelix-Wankel-Str.182152 Krailling, GermanyVAT-ID: DE277993926

Included services Enable Disable

SATELLITE SYMPOSIUM AND LIVE Q&A STREAMING

Please fill in the following fields for your account:

Please complete your invoice details: