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Sponsorship Booking Form<br />

Please note that all acknowledgements of your company and listing of company<br />

name and address will be generated from the following information.<br />

Please complete and return this booking form at your earliest convenience to the<br />

Manager Sponsorship & Exhibition <strong>FIP</strong> Dublin 2013:<br />

The Pharmaceutical Society of Ireland<br />

PSI House<br />

Fenian Street<br />

Dublin 2<br />

Email: fipdublin2013@thepsi.ie<br />

Part 1 of 2:<br />

Company Name:<br />

Contact Person:<br />

Tel/Fax:<br />

Email:<br />

Postal Address:<br />

Signature:<br />

Date:<br />

15

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