Exhibition and Sponsorship

 

Exhibition and Sponsorship Application Form

 

Company Name (in full):

 

 

 

Contact person:

 

Title:

 

Address:

 

 

 

Postal Code & City:

 

Country:

 

Telephone (with area code):

 

Facsimile (with area code):

 

E-mail:

 

Web site:

 

 

Exhibition

Product Description

Briefly describe your product(s) or service(s). This information will be used as part of the application review process.

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

Space Selection (check one)

No. of square meters open space: _____________ m2 (minimum 6 m2). Two free registrations for company representatives for every 6 m2.

 

Stand Type

Price per m2 (EURO )

 

Number of m2

 

Total (EURO )

 

 

 

 

 

 

In-line

EURO  500

×

 

=

 

 

 

 

 

 

 

Island

EURO  580

×

 

=

 

 


Payment

All payments must be made in Euro (EURO ) only. If sending payment by wire transfer, please fax a copy of the application along with a copy of the bank transaction to the Congress Secretariat.

Before December 10, 2012, applications must include a minimum 50% deposit (with the remainder due by March 1, 2013). Applications received after December 10, 2012 require full payment.

Applications received and paid in full before November 1, 2012 are subject to a 10% discount.

All prices are subject to a 20% VAT.

Please indicate which of the following ways of payment you have used.

o Bank transfer:        Intermediary Bank: Reiffeisen Zentralbank Oesterreich AG,  AM Stadtpark 9, Vienna, Austria. Swift: RZBAATWW
Beneficiary Bank: ZAO MOSSTROYEKONOMBANK, 78 Profsoyuznaya Str.., Moscow 117393, Russia
.
Swift: MOSKRUMM
Beneficiary: INSTITUTE OF IMMUNOPHYSIOLOGY
Account: 40703978773000300690 Please add EURO  30.00 as processing fee to Grand Total.

 

o Visa                     o Eurocard / Mastercard

Charge my Credit Card No. ________________________________________ Exp. date _____/_____

Card Holder Name _________________________ Passport No. _________________________ Valid through: __________________

Card type: CVV2 No. ______________________________ or CVC2 No.___________________________ (see your card reverse side)

Total amount _________________________________________________________________________________________________

Date ____________________________________________ Signature ____________________________________________________

A 5% administrative fee and a 3% charge fee will apply for all credit card payments.

Having signed below, I herewith confirm that I have read and am fully aware of the cancellation conditions.
I hereby authorize the Congress Secretariat (Institute, Euroline Intelservice, Congress Hotels, Secretariat)
to debit this credit card account for the total amount due.
I also consent to Congress Secretariat (Institute, Euroline Intelservice, Congress Hotels, Secretariat) debiting or crediting my credit card account
of any subsequent change(s) to the items booked.

 

Cancellation policy

If an exhibitor wishes to cancel or reduce exhibit space, written notification must be sent to the Congress Secretariat. For cancellation received before November 15, 2012, no refund is issued for the deposit. No refunds will be given for cancellations received after November 15, 2012.

 

Agreement

We agree to observe the regulations of the exhibition as set in the Exhibitiors Application Form for the VI World Asthma, Allergy & COPD Forum. Acceptance of this application by the organizer converts this into a contract for exhibit space.

 

 

 

 

Authorized Signature

 

Date

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

Print Title

 

 

 

Mail and fax your application to:

*

VI WORLD ASTHMA, ALLERGY & COPD FORUM
4, Ostrovityanova Street, 117513 Moscow, RUSSIA

(

(7-495) 735-1414

Fax

(7-495) 735-1441

E-mail

info@wipocis.org

Web site

www.wipocis.org

Sponsorship Opportunities and Their Cost

Major Sponsorship Levels

EURO

Platinum

75,000

Gold

50,000

Silver

30,000

Advertising in Congress Materials

 

Final Program

 

Inside front or back cover

2,000

Outside back cover

3,000

Inside the Program

1,500

Abstract Book

 

Inside front or back cover

2,000

Outside back cover

3,000

Inside the Abstract Book

1,500

Abstracts on CD-ROM

2,000

Other Sponsorship Opportunities

 

Travel grants

5,000

Satellite symposium (up to 2 hours)

8,000

Congress bag

3,000

Bag inserts

 

No more than 4 pages including cover

2,500

No more than 12 pages including cover

4,000

Conference stationary (notepad & pens)

2,000

Polo-shirt

5,000

Lanyard for Badges

1,000

Logo Display on the Shuttle bus

800

Gala Dinner

2,000

Coffee Breaks (per break)

2,000

TOTAL

 

 


Major Sponsorship Levels

Platinum: Euro 75,000

 

1.        Appointment to the Congress Sponsor Advisory Council, whereby input may be provided on the content of the program including plenary sessions, concurrent sessions and workshops, and major social events.

2.        Sponsorship of a 1.5 to 2-hour major scientific session within the main Congress program.

3.        Exhibition space.

4.        8 complimentary registration fees.

5.        Six complimentary badges for exhibitors.

6.        Priority on hotel selection.

7.        A credit of Euro 10,000 toward sponsorship of one or more items as listed in this Sponsorship Opportunities brochure; additional items will be available for sponsorship at additional cost. Items will include sponsored symposia, and other educational sessions, plus the usual array of items necessary for a successful meeting.

8.        Priority on Exhibition area selection.

9.        Right of the first refusal (along with other confirmed Platinum Sponsors) to sponsor available items.

10.     Complimentary, full-page, 4-color advertisement in the Final Program (specific page position at additional cost) and in the Abstract Book.

11.     One complimentary insert in the Congress bags.

12.     Recognition as a Platinum Sponsor in Congress publications, CD-ROM, on Congress bags and on the Congress Web site.

 

Gold: Euro 50,000

 

1.        Sponsorship of a 1.5 to 2-hour satellite scientific session including time and space assignment and recognition only; all costs, including speaker fees, a/v, catering, etc. will be additional.

2.        Exhibition space.

3.        4 complimentary registration fees.

4.        Four complimentary badges for exhibitors.

5.        Priority on hotel selection.

6.        A credit of Euro 8,000 toward sponsorship of one or more items as listed in this Sponsorship Opportunities brochure; additional items will be available for sponsorship at additional cost. Items will include sponsored symposia, and other educational sessions, plus the usual array of items necessary for a successful meeting.

7.        Priority on Exhibition area selection.

8.        Opportunity to bid on items listed in this Sponsorship Opportunities brochure before general distribution to all potential sponsors (Platinum Sponsors have right of first refusal).

9.        Complimentary, full-page, 4-color advertisement in the Final Program (specific page position at additional cost) and in the Abstract Book.

10.     One complimentary insert in the Congress bags.

11.     Recognition as a Gold Sponsor in Congress publications, CD-ROM, on Congress bags and on the Congress Web site.

 

Silver: Euro 30,000

 

1.        Exhibit space.

2.        2 complimentary registration fees.

3.        Two complimentary badges for exhibitors.

4.        Priority on hotel selection.

5.        A credit of Euro 4,000 toward sponsorship of one or more items as listed in this Sponsorship Opportunities brochure; additional items will be available for sponsorship at additional cost. Items will include sponsored lunch and dinner symposia, and other educational sessions, plus the usual array of items necessary for a successful meeting.

6.        Priority on Exhibition area selection.

7.        Complimentary, full-page, 4-color advertisement in the Final Program (specific page position at additional cost) and in the Abstract Book.

8.        One complimentary insert in the Congress bags.

9.        Recognition as a Silver Sponsor in Congress publications, CD-ROM, on Congress bags and on the Congress Web site.

Companies interested in Platinum, Gold, or Silver Sponsorship should contact the Congress Secretariat.

WORLD IMMUNOPATHOLOGY ORGANIZATION
Phone: +7 (495) 735-1414; Fax: +7 (495) 735-1441; E-mail: info@wipocis.org
 |   |  : CMS.SSPRO