Your customer numberMusic Use at Trade Fairs

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Music Use at Trade FairsCustomer Data

* First and last name of the authorized representatives

Contact Person Data

Billing Address (if different from above)

Trade Fair Data

* Promotion area

Name of Trade Fair Trade Fair Dates (from/to)

Name of Building Booth Area in Square Meters *

Building Number

Address Postal Code / City

Mr./Mrs./Ms Last Name First Name

Telephone Fax Cellphone

Mr./Mrs./Ms. Last Name First Name

Address Postal Code / City

Booth Number

Mr./Mrs./Ms. Name/Company First Name

For Companies * Date of Birth

Postal Code / City

Telephone Fax Cellphone

E-mail Website

Court of Registry Registration Number

Association Membership Since Membership Number

Address

Tax ID Number

m2

Questionnaire

As

of: 2

0. 0

4. 2

011

Search for the district offices on the Internet

Your customer number Bezirksdirektionssuche im Internet

Fax: +49 711 2252- 800 : +49 711 2252-794 o 6 messe@gema.de

Your customer numberMusic Use at Trade Fairs

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  Television broadcasts with monitor wall: Number of Walls

Number of Monitors per Wall

  Video playback: Number of Screens

  Video playback with large-format projection: Number of Screens

  Video playback with monitor wall: Number of Screens

Number of Monitors per Wall

  Computer: Total Number

  With multimedia applications or othermotion picture media (film, etc.): Number

  Only music playback via sequencer, soundcards from programs, or networks: Number

  Only music playback from music CDs: Number

Licensing of Industrial Films and Audiovisual Presentations

There is an existing license for public playback.If so, please enclose a copy of the certificate.

Show numbers with singers / musicians / dancers (live performance)

 Yes Number of Daily Performances/Presentations

Booth Sound System

  Radio   CD player/MP3 player/Music cassette player/PC (or similar device)

Audiovisual Playback

  Television broadcasts: Number of Screens

  Television broadcasts with large-format screens: Number of Screens

Music Use Data

Multimedia Applications

Your customer numberMusic Use at Trade Fairs

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Bank Account Details

Bank Account Number Bank ID Number

Name of Bank Account Name

To facilitate monetary transactions, I hereby authorize you to debit all amounts due from my account. I can cancel this debit order at any time.

City

Date Signature

Comments

a) Musician/singerb) CD/MP3 player/Music cassette player/PC, or other similar device, with self-made recordings

c) CDs/Music cassettes without self-made recordingsd) Video recorder/DVD player with self-made recordings

e) Video recorder/DVD player without self-made recordingsf) Playback of television broadcasts

Booth Parties or Other EventsIf an event program is available, it is sufficient if you enclose a copy of the event program.

Event Date Times Type of Event(e.g., booth party)

Music Playback via:

a   b   c   d   e   f  

a  

a  

a  

a  

a  

a  

b  

b  

b  

b  

b  

b  

c  

c  

c  

c  

c  

c  

d  

d  

d  

d  

d  

d  

e  

e  

e  

e  

e  

e  

f  

f  

f  

f  

f  

f  

Number of visitors(invited / expected)

Expenses Included for Booth Parties/Events

Expenses for music use (including sales tax) €

Fees for performing artists (musicians, singers, performers, deejays) €

Accommodations, catering, etc., for the performing artists €

Expenses for emcees €

Technical equipment (stage equipment, e.g., PA and stereo systems, lighting systems, etc.) €

Miscellaneous expenses for music use €

Type of miscellaneous expenses

Use of large-format screens / large-format projections (screen size 106 cm/42 inch or more): Yes