Sponsorship form Copy - Green Marine

Company*

Address*

State / Province*

Postal code*

Country*

Contact person*

Email*

Phone*

Fax

Sponsorship categories*

Two free accesses to the conference

Your Gold sponsorship package gives you two free accesses to the conference. Please list below which of your organization’s representatives will benefit from these registrations.

First name

Last name

Courriel

First name

Last name

Courriel

We are not planning on attending the conference.

One free access to the conference

Your Silver sponsorship package gives you one free access to the conference. Please list below the name and email address of your organization’s representative whom will benefit from this registration.

First name

Last name

Courriel

We are not planning on attending the conference.

An invoice will be sent to you upon reception of this form.

Total

$0.00

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