Sponsorship Form

Sponsorship Form
This document confirms our commitment to sponsor the following item at Vemex 2010 New York. Please note sponsors can choose to share an item with another sponsor.
Continental Breakfast $5,000.00 (Nov 1)
Morning Coffee Break $3,500.00 (Nov 1)
Afternoon Coffee Break $3,500.00 (Nov 1)
Cocktail Reception $14,000.00 (Nov 1)
* Name
* Company Name
* Address
* City
* Province/State
* Postal/Zip Code
* Telephone
* Fax
* E-mail

As a participating sponsor, we hereby agree to assume financial responsibility as indicated for the above-mentioned event/item. It is further acknowledged that the person filling in this form is authorized to do so on the behalf of the participating company. It is understood that we may be required to provide a non-refundable deposit as proof of our intention to participate.