SPONSORSHIP AGREEMENT FORM
Thank you for sponsoring APNOMS 2011. Please complete the following form and send it to APNOMS 2011 Exhibition & Patron Co-Chairs by email, postal-mail or fax.
Company
Name:______________________________________________________________________
Contact
Name:________________________________________________________________________
Contact
Address:______________________________________________________________________
Tel
:________________________________________Fax:____________________________________
Contact's
E-mail:_______________________________________________________________________
Company
Website:_____________________________________________________________________
_______________________________ hereby agrees to
sponsor APNOMS 2011 which is to be held in Taipei, Taiwan from
September 21 to 23, 2011.
(Please select the following
option)
1 [ ] Platinum
Sponsor-------------------------------------------------[$10,000 USD
($300,000 TWD)]
2 [ ] Gold
Sponsor-------------------------------------------------------[$5,000
USD (NT$150,000 TWD)]
3 [ ] Sliver
Sponsor------------------------------------------------------[$3,000
USD
(NT$90,000 TWD)]
4 [ ] Bronze
Sponsor (or Exhibition) ------------------------------[$1,500
USD (NT$45,000 TWD)]
Signature :________________________ Date
:____________________________
PAYMENT
Wire
Transfer
Upon completion of wire transfer, please contact the Secretariat and fax the proof of the wire
transfer to +886-2-23255088 for confirmation.
Note
In case of typhoon, earthquake, flood, fire or other causes beyond the control of the host, APNOMS 2011 Organizing Committee may cancel the symposium. Should this happen, APNOMS 2011 will return the sponsorship fee after a deduction of no more than 10% of the original amount.
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