IDENTIFICATION

Company *

Street Address *

Address Line 2

City *

Zip Code *

Phone Number *

Email Address *

VAT Nr *

PEOPLE ATTENDING

1. Contact Person *

Email Address *

2. Other(s) 🛈

EXHIBITOR/SPONSOR

Exhibitor: 1000 Euros

Sponsor: 2000 Euros

INDIVIDUAL SPONSORSHIP PACKAGES

"Lucília Paiva" Award: 1000 Euros

Conference Lunch (2 days): 5000 Euros

Conference Coffee-Breaks (2 days): 2000 Euros

Program/Abstract Book: 1500 Euros

Conference Bags: 500 Euros

Name Badges: 250 Euros

Other

Sponsorship Amount / Items *

Date +

Responsible for completing the form *