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CUBO Corporate partner application form
Your Company
*
1.
Partnership
(Required.)
Platinum
Gold
Silver
Silver - Small Business (less than 8 employees)
Sport Special Interest
*
2.
Organisation
(Required.)
*
3.
Primary Address
(Required.)
Address
*
Address 2
*
City/Town
*
State/Province
*
ZIP/Postal Code
*
Country
*
4.
Company website
(Required.)
5.
Brief company description & year of foundation
6.
Company size (staff & turnover)
7.
Key clients
Contact Details
*
8.
Primary Contact Name
(Required.)
*
9.
Primary Contact Email
(Required.)
*
10.
Primary Contact Telephone
(Required.)
11.
Secondary Contact Name
12.
Secondary Contact Email
13.
Secondary Contact Telephone
14.
Conference Contact (main contact for all conference administration)
University Reference
*
15.
University Reference 1 (name/tel/email)
(Required.)
16.
University Reference 2 (name/tel/email)
17.
Any other information relevant to this application
Finance
*
18.
Finance contact name
(Required.)
*
19.
Finance contact email
(Required.)
*
20.
Finance contact number
(Required.)
21.
Full invoicing address
22.
Do you require a PO Number on the invoice?
Yes
No
