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DRINKING WATER & ICE SERVICES
                                                                                                 Please submit and make a payment before: February 10, 2017

                                          This form must be completed and returned before deadline  to
                                          Operations Department, Royal Paragon Enterprise Co., Ltd.(HQ)
                                    991 Siam Paragon Shopping Center, Rama 1 Road, Pathumwan, Bangkok  10330
                                                Tel: (662) 610 8011 Fax:  (662) 610 8040
                                                    Tax ID No. 0105549030305

                 Contact Name           : Ms. Chunya Nuchkong  Telephone No : (662) 610 8046   Fax No. : (662) 610 8040  Email : chunya.n@siamparagon.co.th
                                    th
            Event Name :       The 50  Diplomatic Red Cross Bazaar    Event Date :   25 = 26 February 2017
            Company Name :                                                                                    Booth No. :
            Name (Mr./Mrs./Miss) :                                                                                           Email  :
            Company Address :
            Telephone No. :                                                                                      Facsimile No. :
            Issue receipt on behalf of :   Juristic Person (Please indicate Tax ID. No.)
                                  Natural Person (Please indicate Passport No.)


                     Description            Price/Unit (Baht)     Delivery Date     No. of Order   Amount (Baht)

                Drinking Water FGreen FreshG
                                                45.-
                    (18.9 Litre/Tank)

            Remark :                                                                     Sub Total
            *Additional requirement must be ordered at least  7 days prior to the event date.       VAT 7%
                                                                                                Grand Total

                     Description           Price/Unit (Baht)     Delivery Date     No. of Order   Amount (Baht)

                                               100.-
              Small Ice Cubes (18 Kgs./Bag)
                                          (VAT 7% inclusive)

            Remark :                                                                   Grand Total
            *Additional requirement must be ordered at least 5 days prior to the event date.
            *The above rate is included plastic ice bucket services.
           Terms & Conditions
            1.  Placing of Orders:  Orders will only be accepted when made in writing and accompanied with full payment by :
                •   Cash, Company cheque or Transfer before February 10, 2017  in favor of :
                 A/C Name: Royal Paragon Enterprise Co., Ltd.
                 A/C No: 855-0-04894-9 (Saving)
                 BankGs Name : Bangkok Bank, Siam Paragon Branch    SWIFT Code : BKKBTHBK
               and please submit a copy of evidence of your payment to fax no. (662) 610 8040 before February 10, 2017.
            2.  Any Transaction fee and/or bank charge will be responsible by exhibitor.
            3.  Please apply the exchange rate on the payment date.
            4.  The above rate is included delivery fee.
            5.  On-site order: Service may not be provided.
            6.  Cancellation of Orders: Cancellation of orders will only be accepted when made in writing to Operations Department   before February 17, 2017. Late cancellation of order
               after February 17, 2017 is subject to a charge at a half of price rate. Any cancellation before the show date within 3 days all costs will be subject to the exhibitor.
            7.  Drinking water tank and plastic ice bucket belong to Royal Paragon Hall, any loses or damages, the exhibitor will be immediately imposing a fine at 450 baht/tank and
               6,000 baht/bucket respectively.
            8.  Delivery time is from 8.00 a.m. - 6.00 p.m. only.
            9.  Royal Paragon Hall is entitled to add, alter, or amend these terms and conditions at its sole and absolute discretion without prior notice.




                (Signature) :
                                                                            (Signature) :

              Requested By :                               Acknowledged and Confirmed By :

                     Date :                                                      Date :



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