Sponsorship & Exhibition Application

Sponsorship & Exhibition Application

Please complete the form below
Company Name*
Country*
Address*
City*
P.O. Box
Full Name*

PrefixFirst NameLast Name
Title*
Designation*
Telephone/Mobile*
Fax
Email Address*
Website
Sponsor Packages (prices are inclusive of 5% VAT)

Diamond Sponsor — $ 13,600 USDGold Sponsor — $ 6,800 USDSilver Sponsor — $ 4,080 USD
Additional Sponsorship Items

LunchDinnerDelegate BagsLanyards and BadgesStationery / Notepad and pensRoll upsBannersPlaques for speakers
Advertisement in Conference Booklet
prices are inclusive of 5% VAT

Outside cover — $ 2,723 USDInside cover — $ 2,042 USDDouble middle — $ 1,634 USD
prices are inclusive of 5% VAT

One page — $ 1,089 USDHalf page — $ 544 USDQuarter page — $ 272 USD
Upload Advertisement Artwork (optional)

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Exhibition (Both customization and additional furniture/equipment are at the sole expense of the exhibitor.) prices are inclusive of 5% VAT

3m × 3m Space — $ 1,360 USD2m × 2m Space — $ 1,370 USD4m × 2m Space — $ 2,750 USD
Upload Company Logo / Exhibit Image (optional)

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Payment Method (Please note: a 50% deposit is required for confirmation of sponsorship.)*

Cash Payment( Payment should done at Maharat Learning Center)Bank TransferAccept payment through bank transfer:Bank Name: Mashreq Bank PSC Account # 019101123079 Account Holder: Dr. Hebah Shata Specialized Clinic IBAN # AE160330000019101123079 Mashreq Swift Code: BOMLAEADOnline Payment
Grand Total
Online Payment Transaction*

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