18th ISUOG Virtual International Symposium Latin America 2022 - Sponsorship application form and contract

1. Contact details

Completion of this application form indicates the applicant's willingness to abide by all terms, conditions and general rules as stated in the Industry Prospectus and outlined on the website. This application form will serve as a contract.

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* 1. Full company name (for invoice):

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* 2. Title:

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* 3. Name:

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* 4. Surname:

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* 5. Full company address (for invoice):

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* 6. City:

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* 7. County/State:

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* 8. Postcode (zip code):

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* 9. Country:

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* 10. Company VAT number (if applicable)

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* 11. Telephone including country and area code:

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* 12. Email: Please provide the one you will use for communications with ISUOG

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* 13. Company website: