Sponsorship Opportunity - Simposium IATMI 2018

SPONSORSHIP FORM | SIMPOSIUM IATMI 2018

Please complete the following for sponsorship registration. Keep a copy for your record.

Company*

We would like to sponsor:

* Detail information about sponsorship, could be seen in sponsorship proposal.

Sponsorship 1:*

Sponsorship 2:

Sponsorship 3:

Total Amount:*

Billing Address:*

(Detail address, country, city, postal code)

Contact Name:*

Title:*

Office Phone:*

HP:*

Email:*

This field should be left blank

If you have any problem to submit your sponsorship plan through this form, you also can submit manually by email to simposium@iatmi.or.id