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Sponsorship/Exhibitor Sign-up Form
(Deadline for submission is to be included in the conference program: May 13, 2005)
* denote required fields

COORDINATOR INFORMATION:

First Name:*
Last Name:*
Title:
Department:
Address:
 
City:
State/Province:
Country:
Postal Code:
Phone:
Fax:
E-mail Address:*

COMPANY INFORMATION:

Organization Name:*
(Exact Listing of Organization Name as it should be listed in ISMB2005 printed materials and signs)
 
Type of Organization*
Web Address:
 
Check box if all contact infomation below is the same as the above coordinator information.
 
Address:
 
City:
State/Province:
Country:
Postal Code:
Phone:
Fax:
 
Company Description:
(Maximum 50 words)

SPONSORSHIP OPPORTUNITIES:

Categories No. of Items Amount each
Platinum Sponsorship
(includes one exhibit booth and a 2-hour demo time)		 For-profit: US $20,000
Non-profit: US $14,000
Gold Sponsorship
(includes one exhibit booth and a 1-hour demo time)		 For-profit: US $12,000
Non-profit: US $7,000
Silver Sponsorship
(includes 1-hour demo time and does not include an exhibit booth)		 For-profit: US $6,000
Non-profit: US $4,000
Exhibit booth For-profit: US $3,500
Non-profit: US $2,500
Industry Poster For-profit: US $1,000
Non-profit: US $500

OTHER SUPPORT:

Categories No. of Items Amount each
Keynote Speaker Travel Funding US $1,500
Student Travel Fellowship US $1,500
Software Demonstration Time Organizational: US $3,000
Other Donation   US $.00


CHECK ANY ITEMS BELOW THAT THE ORGANIZATION WISHES TO SPONSOR:

Name badge lanyards US $3,000
Registration satchels US $30,000
Volunteer t-shirts US $3,000
Conference t-shirts US $15,000
Off-Site Banquet US $27,000
Luncheon US $15,000 each
Coffee Break US $7,500 each

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