Contract for Sponsorship
Submit this completed contract (contract + list of sponsor items) and payment to: SETAC Europe, Avenue de la Toison d’Or 67, 1060 Brussels.
Fax: +32-2-770-53-86
Organisation:
Mailing address:
Sponsor Contact person:
Phone: Fax:
E-mail: ______
Undersigned agrees to sponsor the SETAC Europe 19th Annual Meeting with the items as indicated on the list of sponsor items, to a total amount of …………………€.
q Option 4 (³ € 20.000) / q Option 3 (³ € 10.000)q Option 2 (³ € 5.000) / q Option 1 (³ € 2.500)
Please mark sponsor category:
PAYMENT:q By bank: KBC Bank, Havenlaan 16, 1080 Brussels, IBAN: BE29435440000164, BIC: KREDBEBB.
q By credit card (tick one): qEC/MC qVisa qAMEX
Name cardholder:
Card number: CVC
Exp. Date: Signature:
The undersigned, as the responsible party for the Sponsor and authorised to sign on behalf of the sponsors organisation, understands and agrees to be bound by the Terms and Conditions appearing herein.
Name: Title:
Position:
Signature:
Date:
Contract for Sponsorship (items)
Please mark the requested sponsor items:
Sponsored item / Cost/item / Quantity / Total costs
Internet corner for participants / € 5.000
Audio & Video services in 1 session room (Mon-Thu pax 100-200) / € 2.000
Audio & Video services during special symposia (Mon-Thu; pax 200-500) / € 4.000
Audio & Video services during opening session (Sunday; pax 1.000-1.500) / € 2.000
Audio & Video services during keynote lectures & closing ceremony (Mon-Thu; pax 700) / € 5.500
Welcome reception (Sunday) / € 10.000
President’s Reception & Session Chairs’ Reception (Tuesday) / € 5.000
Party (Wednesday) / € 15.000
Conference Banquet (Tuesday) / € 15.000
Morning/afternoon coffee & tea (Mon-Wed; costs per break) / € 2.500
Lunch (Mon-Wed; costs per day) / € 10.000
Poster Social (Mon-Wed; costs per day) / € 5.000
Congress bags with congress and sponsor’s logos / € 5.000
Badge cords with sponsor’s name / € 3.000
Writing pads and ball-point pens (to be supplied by sponsor) / € 1.000
TOTAL / €
Name: ______
Signature: Date:
Meeting registrations
· Option 1: 1 free registration
· Option 2: 2 free registrations
· Option 3: 3 free registrations
· Option 4: 4 free registrations
Special registration forms will be sent to you in March 2009.
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