You can always press Enter⏎ to continue
Welcome To Our 2020 SCPS AGM
This form is for industry sponsorship registration to our forthcoming Zoom webinar 06-07 November 2020. Sponsors will receive Zoom access credentials before the event.
7
Questions
START
1
Full Name
*
This field is required.
Mr.
Ms
Mrs.
Doctor
Professor
Sir
Mr.
Mr.
Ms
Mrs.
Doctor
Professor
Sir
Prefix
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Name of Company that will be sponsoring our event
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Contact Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
5
2020 Zoom Webinar Sponsorship Packages
*
This field is required.
* Discounted rate for companies who have paid for adverts in the Perfusionist journal during 2020. Kindly refer to our website sponsor information page
https://www.scps.org.uk/events/sponsors
for information about various packages and more. Complimentary delegate tickets for the 2020 SCPS AGM Webinar are included depending on the package purchased.
Diamond £8,240 / £8,000*
Platinum £6,695 / £6,500*
Gold £5,150 / £5,000
Silver £2,832.50/£2750*
Bronze £1,030 / £1,000*
Previous
Next
Submit
Press
Enter
6
Please list the names of the 2020 Zoom Webinar attendees.
if you require more attendees - please provide these to our admin Valerie - admin@scps.org.uk
Enter Full Name
Please enter your email
Enter Full Name
Please enter your email
Enter Full Name
Please enter your email
Enter Full Name
Please enter your email
Previous
Next
Submit
Press
Enter
7
2020 SCPS AGM Webinar sponsorship payment methods
*
This field is required.
For any queries, please contact Valerie Campbell, Society of Clinical Perfusion Scientists of GB & Ireland, 2nd Floor, The Royal College Of Surgeons, 35-43 Lincoln's Inn Fields, London, WC2A 3PE. Cancellation Policy: See terms and conditions, Before 1st September 2020: 100% Refund. After 1st September 2020 - No Refund.
Cheque: Make payable to: Society of Perfusionists.
Credit card: Complete the form and our SCPS administrator, Valerie Campbell, will be in touch with you shortly.
Bank Transfer : Please contact Valerie Campbell, our administrator for bank transfer details
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
7
See All
Go Back
Submit