2017 Society for Glycobiology (SFG) Meeting Sponsorship Registration
For more information, visit the SFG website- http://glycobiology.org/sponsors.php
Company/Organization
Please enter exactly as it should be displayed on promotional material
Your answer
Preferred URL web link
Your answer
Contact Name
(firstname lastname)
Your answer
Contact email address
Your answer
Contact phone number
Your answer
Address
Your answer
City, State, Zip, Country
Your answer
Sponsorship
Sponsorship level
Will you be exhibiting?
Additional Sponsorship Opportunities
Choose as many as you'd like
Required
Program Book Advertisement Opportunities
Choose as many as you'd like
Required
Representative Information
Please confirm any representatives you will be sending on behalf of your company to be registered for this meeting. Please note the following complimentary registrations given according to sponsorship level. (Platinum = 4, Gold = 3, Silver = 2, Bronze = 1) Any additional representatives MUST pay for registration ($375)
Enter the name and email of all representatives you will be sending.
example: Joe Smith jsmith123@example.com; Mary Jones mjones000@example.com. If none, write "none".
Your answer
Payment
By submitting this form, you are authorizing the payment for this sponsorship and indicating that you understand that due to the nature of the event, no refunds will be issued for sponsorship payments. Details of exhibiting at the meeting can be found on the sponsorship prospectus.
Payment method
Please help the society maximize your contribution by paying by check if possible.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms