Form Forminator | JIFHEX | Empowering Culinary Business In Tue Heart Of Java

Company Name *

Street Address

City

State/Province

ZIP / Postal Code

Country

Phone Number

Fax

E-mail

Website

Stand NumberInput Your Stand Number Here (Ex. A001-A003)

Date

Signature of Confirmation

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Photo of ProductNote: Please send your Photo product and your Company Logo by E-mail or CD (JPEG Format). Before September 3rd, 2025

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Photo of Product

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Company Name *HEAD OFFICE

Company Name *

Street Address

City

State/Province

ZIP / Postal Code

Country

Telephone 1

Telephone 2

E-mail

PIC

Position

Line of Business (maximal 80 words):

Product/Services

Select

Company NameFor Completee Shell

Stand Number

Name of appointed Contraktor

Address of appointed Contractor

Email Address

Telephone

Contact Person

Position

Mobile Phone

Select FurnitureF-01 Reception desk (100cm x 50cm x 80cm)F-02 Coffee round table (dia.75cm, (H) 75cm)F-03 Glass round table (dia.75cm, (H) 75cm)F-04 Easy chairF-05 Lockable counter (90 x 50 x 75)F-06 2 Tier counter display table (75, (H) 100cm, (W) 90cm)F-07 3 Tier counter display table (50, 50 (H) 100cm, 90cm)F-08 Display cube (50 x 50 x 50cm ) SmallF-09 Display cube (50 x 50 x 75cm ) MediumF-10 Display cube (50 x 50 x 100cm ) TallF-11 Sheving (100 x 50cm)F-12 Display panel board (1 set= 3 Unit, (W) 100cmF-13 DVD Player onlyF-14 TV Plasma 42F-15 Showcase counter (50 x 100 x 100), no lightF-16 Showcase counter 2 Tier (50 x 100 x 100), no lightF-17 Square showcase (50 x 50 x 200), with lightF-18 High showcase (50 x 100 x 200), with lightF-19 Bar stool (100cm)F-20 Sofa (for 1 persen)F-21 Brochure rackF-22 Water Dispenser

Electric Supplies RentalE-01 Spotlight 100W, 220VE-02 Long Arm Spotlight @100WE-03 Down Light @50WE-04 Fluorescent lamp @40W, 220VE-05 Metal Hi-Lite @150WE-06 2 Amp/1 phase, 220VE-07 2 Amp/1 phase, 220V (24 hours)E-08 4 Amp/1 phase, 220VE-09 4 Amp/1 phase, 220V (24 hours)E-10 6 Amp/1 phase, 220VE-11 6 Amp/1 phase, 220V (24 hours)E-12 10 Amp/1 phase, 220VE-13 10 Amp/1 phase, 220V (24 hours)E-14 16 Amp/1 phase, 220VE-15 16 Amp/1 phase, 220V (24 hours)E-16 20 Amp/1 phase, 220VE-17 20 Amp/1 phase, 220V (24 hours)E-18 25 Amp/1 phase, 220VE-19 25 Amp/1 phase, 220V (24 hours)E-20 32 Amp/1 phase, 220VE-21 32 Amp/1 phase, 220V (24 hours)

Cold Storage RentalE-22 16 Amp/3 phase, 380VE-23 16 Amp/3 phase, 380V (24 hours)E-24 20 Amp/3 phase, 380VE-25 20 Amp/3 phase, 380V (24 hours)E-26 25 Amp/3 phase, 380VE-27 25 Amp/3 phase, 380V (24 hours)E-28 32 Amp/3 phase, 380VE-29 32 Amp/3 phase, 380V (24 hours)E-30 60 Amp/3 phase, 380VE-31 60 Amp/3 phase, 380V (24 hours)E-32 100 Amp/3 phase, 380VE-33 100 Amp/3 phase, 380V (24 hours)E-34 Grounding ( 1 Phase Only)

Name of hotelOfficial Hotel - All Reservations and payments is to be made to the hotels

Address

Room type

Total of room

Book per nite

Price per room

Additional request