IPWEA AM Summit Sponsorship Acceptance Form

SPONSOR/EXHIBITOR

ACCEPTANCE FORM
Sponsorship Level
Please indicate the level of sponsorship you would like. Please note that individual sponsorship packages can be tailored to suit your needs once a level has been indicated. All displayed amounts are in Australian dollars and exclude GST.*

Silver Sponsor – $14,000 + GSTStream Sponsor – $9,000 + GSTBronze Sponsor – $8,000 + GSTAssociate Sponsor – $6,500 + GSTWorkshop Sponsor – $6,500 + GSTEvent App Sponsor – $5,000 + GSTTea Break Sponsor – $2,000 + GSTKeynote Speaker Sponsor – $2,500 + GSTCoffee Cart Sponsor – $6,500 + GSTExhibitor Single – $4,000 + GST
Additional Exhibitor & Sponsor Passes

Exhibitor Single Package includes 2 complimentary passes
Select your requirements below:
Up to two additional exhibitor & sponsor passes are available.
Sub Total
Plus 10% GST
Total
Business Details
Business Name*
Phone Number*
Please enter a valid phone number.Format: (00) 0000-0000.
Email*
example@example.com
Mobile*
Please enter a valid mobile number.Format: 0000-000-0000.
Mobile*

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload your logo*

Cancelof
Website URL*
Enter your company bio*

0/700
In signing below I confirm I understand and agree with the Participation Terms and Conditions. Furthermore, I confirm I am authorised to sign on behalf of the applicant.
Signature
Name*
Position
Date*

DayMonthYear
Date
Should be Empty:

SPONSOR/EXHIBITOR