Carolina Neurostimulation Conference 2019 Sponsorship Form
The Carolina Neurostimulation Conference brings together experts in the neurostimulation field to discuss advances in basic and clinical research. The conference will allow you to meet and interact with leading researchers, outstanding trainees and clinicians at the intersection of medicine and engineering. For more information visit http://www.neurostimcarolina.org

Company Information
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Name of Company *
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Contact Person Name *
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Contact Person Email *
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Contact Person Phone *
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Billing Address *
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Sponsorship Levels
Diamond Sponsor - $5,000 (Maximum 2)
• Space for booth at prominent location near conference auditorium
• Recognized named event (Reception/Lunches)
• Lead billing on signs and websites/emails
• 1-page advertisement in program book
• 5 Complimentary admissions and 5 complimentary parking spots

Platinum Sponsor - $3,000 (Maximum 4)
• Space for booth near conference auditorium
• Lead billing on signs and websites/emails
• 1-page advertisement in program book
• 3 Complimentary admissions and 3 complimentary parking spots

Gold Sponsor - $2,000 (Maximum 6)
• Table near conference auditorium
• Billing on signs and websites/emails
• 1-page advertisement in program book
• 2 Complimentary admissions and 2 complimentary parking spots

Silver Sponsor - $1,000 (Multiple)
• Billing on signs and websites/emails
• 1/2-page advertisement in program book

Best Poster Awards Sponsor - $ 1,000 (Maximum 1)
• Available only for Diamond/Platinum/Gold Sponsor
• Named awards for 3 trainee posters (1st place - $500, 2nd place - $300, 3rd place - $200)

Trainee Travel Awards Sponsor - $1,000+ (Multiple)
• Available only for Diamond/Platinum/Gold Sponsor
• $500 travel awards/trainee (minimum 2) for trainees including trainees from underrepresented groups

Sponsorship Level interested in *
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Additional Sponsorship Options (For Diamond/ Platinum/Gold Sponsors)
How many Trainee Travel Awards? (If interested in Trainee Travel Awards - $500 per award)
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