FURNITURE FORM FOR SHELL SCHEME STANDS ONLY

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1 FURNITURE FORM FOR SHELL SCHEME STANDS ONLY DEADLINE: January 11, 2018 Return to: SMART DESIGN LLC Tel: (Sunday Thursday 09:00hrs 18:00hrs) P.O. Box Fax: Abu Dhabi, UAE smartd_1@eim.ae Please complete and return together with payment details to the above address. Contact Name: Hall No. Stand No. Company Name: Address: (important service information will be sent to this address) Telephone: Fax: Name: Signature Date: Please refer to the list of furniture items on the following pages and order your requirements. Quotation can be provided for items not on the list. Rates quoted are on rental basis only and for the duration of the exhibition. On-site orders will be limited to availability of stocks and +30% surcharge CANCELLATION CHARGE 100% ITEMS ORDERED WILL NOT BE SUPPLIED IF PAYMENT IS NOT RECEIVED PRIOR TO EXHIBITION INSTALLATION. Code White stackable chairs White, Chrome Leg C-2 Office Chair 1 White, Synthetic, PVC & Chrome Leg C-3 Classic Chair Leatherette with metal frame C-4 Dining Chair Beige, Synthetic, Chrome Leg C-5 Single Chair 1 White, Leather, Chrome Leg C-6 Office Chair 2 Adjustable lift with back rest C-7 Single Chair 2 White Leather, Back Rest, Chrome Leg

2 Code Office Chair 3 C-8 White stackable chairs C-9 C-2 0 C-3 1 C-4 2 C-5 3 C-6 4 C-7 5 Black, White, Synthetic, Chrome Leg Plastic & Chrome Leg Office Chair 41 White, Leather, Synthetic, Back PVC Rest, & Chrome Chrome Leg Leg Office Classic Chair 5 White Leatherette Leather, with Back metal Rest, frame Chrome Leg Bar Dining Stool Chair 1 White Beige, Leather, Synthetic, Steel Chrome Tubing, Leg Back Rest, Chrome Leg Bar Single Stool Chair 2 1 White, Leather, Steel Chrome Tubing, Leg Back Rest, Chrome Leg Bar Office Stool Chair 3 2 White Adjustable Synthetic, lift with Back back Rest, rest Chrome Leg Bar Single Stool Chair 4 2 White PVC, Leather, Back Back Rest, Rest, Chrome Chrome Leg Leg Bar Stool 5 RED PVC, Back Rest, Chrome Leg 6 Bar Stool 6 BLUE PVC, Steel Tubing, Chrome Leg 7 Bar Stool 7 Red Fabric, Chrome Leg 8 Bar Stool 8 9 Bar Stool 9 Red Synthetic, Chrome Leg C-20 Bar Stool 10 Black Synthetic, Chrome Leg SOFAS S-1 Sofa Single 1 S-2 Sofa Single 2 S-3 Sofa Single 3 S-4 Sofa Single 4 S-5 Sofa Single 5 Red Fabric, Chrome Leg S-6 Sofa Single 6 S-7 Sofa Single 7 S-8 S-9 S-10 Black Leather, Chrome Leg Sofa Single 8 Sofa Double 1 Sofa Double

3 Code Sofa Double 3 S-11 White stackable chairs S-12 C-2 S-13 C-3 S-14 C-4 S-15 C-5 S-16 C-6 White, Leather, Chrome Chrome Leg Leg Sofa Office Double Chair 14 White, Leather, Synthetic, Chrome PVC & Leg Chrome Leg Sofa Classic Double Chair 5 White Leatherette Leather, with Chrome metal Leg frame Sofa Dining Double Chair 6 Black Beige, Leather, Synthetic, Chrome Chrome legleg Sofa Single Double Chair 17 Black White, Leather, Leather, Chrome Chrome leg Leg Sofa Office Triple Chair 2 White Adjustable Leather, lift with Chrome back Leg rest TUB CHAIRS Single Chair 2 C-7 Tub Chair 1 S-17 Red Fabric, Chrome Leg Tub Chair 2 S-18 Blue Fabric, Chrome Leg White Leather, Back Rest, Chrome Leg S-19 Tub Chair 3 (wheels) S-20 Tub Chair 4 TABLES T-1 Round Table Wooden Top, Adjustable Height, Chrome Leg T-2 Glass Round Table 1 T-3 Glass Bar Table, Tri pod T-4 Wooden Bar Table Wooden Top, Wooden Leg, T-5 Glass Round Table 2 Black or White, Laminated, Chrome Leg T-6 Square Coffee Table Wooden Top, Laminated, Wooden Leg T-7 Square Glass Coffee Table 1 T-8 Wooden Coffee Table Wooden Top, Laminated, Wooden Leg T-9 Square Glass Coffee Table 2 T-10 Rectangular Coffee Table T-11 Square Table White, Laminated, chrome leg, 70cmWx70cmLx 80cmH T-12 Office Table 1 White, Laminated Top, Steel Leg ,

4 Code Office Table 2 T-13 White stackable chairs T-14 C-2 T-15 C-3 T-16 C-4 T-17 C-5 T-18 C-6 T-19 C-7 T-20 White, Laminated Chrome LegTop, Chrome Leg Long Office table Chair A 1 Wooden White, Synthetic, Top, Foldable, PVC & Chrome Steel leg Leg Long Classic Table Chair B Wooden, Leatherette Laminated, with metal Steel frame Leg Round Dining Conference Chair Table Wooden, Beige, Synthetic, Laminated, Chrome Steel Leg Leg Meeting Single Chair Table 1 1 White, Laminated, Leather, Chrome Steel Leg leg Meeting Office Chair Table 2 2 Tempered Adjustable Glass lift with Top, back Steel rest leg Meeting Single Chair Table 2 3 White, Leather, Laminated, Back Steel Rest, Leg, Chrome Tempered Leg Glass top Conference Table DISPLAY & ACCESSORIES Safe Box D-1 White or Black, Steel with digital lock OCTANORM Cube - Large D-2 White, Aluminum, MDF OCTANORM Cube - Medium D-3 White, Aluminum, MDF OCTANORM Cube - Small D-4 White, Aluminum, MDF Lockable counter D-5 White-Wood & Aluminum Plain Counter D-6 White-Wood & Aluminum Counter Showcase D-7 Glass & Aluminum Tall Showcase 1 D-8 Glass & Aluminum Tall Showcase 2 D-9 Glass & Aluminum Tower Showcase D-10 Glass & Aluminum - 500x500x 1800 Flat Shelf D-11 Wooden Laminated MDF Sloped Shelf D-12 Wooden Laminated MDF Folding Brochure Rack D-13 Tempered Glass, chrome frame Magazine Rack D-14 Steel & Chrome D-15 Mannequin Male or Female, naked, Full Body , , , , , , ,

5 Code White Waste stackable Bin D-16 chairs D-17 C-2 D-18 C-3 D-19 C-4 White, Chrome Leg Office Textile Chair Rack 1 Steel & Chrome White, Synthetic, PVC & Chrome Leg Classic Coat hanger Chair Leatherette Steel Structure with metal frame Dining Display Chair Shelving (4- Tier) Beige, Chrome Synthetic, Chrome Leg D-20 Single Chair 1 C-5 Barrier D-21 C-6 D-22 C-7 D-23 White, Red or Blue, Leather, Chrome Chrome Leg Leg Office Folding Chair Door 2 for Shell Scheme Adjustable lift with back rest Single Octanorm Chair Panel 2 White Leather, Back Rest, Chrome Leg Grid Panel Refrigerator (small) , D-24 Bar Fridge CARPET - - E-1 Disposable Carpet (per sqm) minimum order of sqm E-2 Medium quality carpet (per sqm) minimum order of 30sqm AUDIO/VIDEO EQUIPMENT E-3 Laptop with MSOffice E-4 LCD Monitor (21") E-5 DVD Player Multi-System E-6 TV Screen 42" E-7 TV Screen 50" , E-8 Plasma Stand PAYMENT METHOD: Credit Card, Local Clearing cheque or Bank Transfer (net of bank charges) Bank Name: AL HILAL BANK Branch: Mall Branch, Abu Dhabi, UAE Account Name: Smart Design LLC Account No.: Swift Code: HLALAEAA IBAN: AE CREDIT CARD AUTHORIZATION/ CARD DETAILS: CARD NUMBER: VISA MASTER EXPIRATION DATE: BANK NAME & COUNTRY: CARD HOLDER DETAILS NAME AS APPEARS ON THE CARD: TELEPHONE NO: BILLING ADDRESS: SIGNATURE: AMOUNT I,, hereby authorize Smart Design LLC to charge order fee on the above credit card. I am aware on the terms and conditions mentioned herein.

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