final_ISPAD2013 Sponsorship Prospectus

Sponsorship Prospectus | International Society for Pediatric and Adolescent Diabetes

Sponsorship Booking Form

Please fill in electronically, print and sign.

Company Name

Address

Postal Code City Country

Phone Fax

Email

Contact Person

Please select one of the options below:

O Exhibition Space

Booth Size in m² Preferred Dimensions

€

Preferred Level: O Platinum Sponsor O Gold Sponsor O Silver Sponsor

Item 1

€

Item 2

€

Item 3

€

Item 4

€

Item 5

€

Total Amount in Euro

€

Please return this form to the ISPAD 2013 Conference Secretariat. Kindly note the General Terms & Conditions at the back of this brochure which apply for all exhibition and sponsorship agreements. Also note that your booking form is binding, but that your requested options must be confirmed by the Conference Secretariat in writing to become effective.

ISPAD 2012 Conference Secretariat c/o K.I.T. Group GmbH Association & Conference Management Kurfürstendamm 71 - 10709 Berlin - Germany Fax. +49 30 24603200 Email: industry-ispad2013@kit-group.org

Date, Place Signature

26

http://2013.ispad.org