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Exhibition Prospectus - Australian Microscopy and Microanalysis ...

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Sponsorship & <strong>Exhibition</strong> <strong>Prospectus</strong><br />

Please post or fax this form to:<br />

Conference Secretariat<br />

EECW Pty Ltd<br />

Tel: +61 8 9389 1488<br />

PO Box 749<br />

Fax: +61 8 9389 1499<br />

WEMBLEY WA 6913 Email: registration@eecw.com.au<br />

APMC10<br />

ICONN2012<br />

5-9 February 2012<br />

ACMM22<br />

Perth, WA Australia<br />

Contact Details<br />

Please print clearly in block capitals<br />

Contact Name:<br />

Position:<br />

Company:<br />

Address:<br />

City: State: Postcode:<br />

Telephone:<br />

Mobile:<br />

Facsimile:<br />

Email:<br />

Package<br />

Fee<br />

Platinum Sponsor $33,000<br />

Gold Sponsor $16,500<br />

Silver Sponsor $11,000<br />

Bronze Sponsor $5,500<br />

Conference Banquet Sponsor $44,000<br />

Internet Lounge Sponsor $10,000<br />

Conference Satchel Sponsor $8,800<br />

Poster & Happy Hour Sponsorship $8,800<br />

ICONN Symposium Sponsor $5,500<br />

ACMM/APMC Session Sponsor $2,200<br />

Pocket Program Sponsor $5,500<br />

Satchel Insert $1,100<br />

H<strong>and</strong>book Advertising Full Page $2,750<br />

H<strong>and</strong>book Advertising Half Page $1,750<br />

<strong>Exhibition</strong> Booth Package $4,400<br />

<strong>Exhibition</strong> Booth Preference<br />

First choice:<br />

Second choice:<br />

Third choice:<br />

Payment Details<br />

Please note that payment of sponsorship total is required<br />

within one month of receipt of the sponsorship application<br />

form<br />

Total Cost $<br />

Please forward an invoice to facilitate payment<br />

I enclose a cheque – please make cheques payable to<br />

EECW in trust for APMC 10<br />

Please charge $<br />

to the following credit<br />

card (Visa <strong>and</strong> MasterCard only)<br />

Card Number<br />

Expiry Date<br />

Cardholders Name<br />

Signature<br />

I have read the cancellation policy <strong>and</strong> accept all of its conditions.<br />

Name (please print)<br />

Position<br />

Organisation<br />

Signed<br />

Date<br />

For further information please contact the APMC 10 | ICONN 2012 | ACMM 22 Conference Secretariat EECW Pty Ltd:<br />

PO Box 749, Wembley WA 6913 | Ph: +61 8 9389 1488 | Fax: +61 8 9389 1499 | Email: registration@eecw.com.au

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