Transcript SICOT 2014, SBOTRio de Janeiro, Brazil Application form

SPONSORSHIP BOOKING APPLICATION FORM
XXVI SICOT Triennial World Congress combined with
46th SBOT Annual Meeting
Rio de Janeiro, Brazil
19-22 November
This agreement is to acknowledge the intention of:
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Company:_________________________________________________________________________
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Contact:__________________________________________________________________________
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Title: _____________________________________________________________________________
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Address 1: ________________________________________________________________________
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Address 2:_________________________________________________________________________
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City and Province/State : _____________________________________________________________
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Postal Code: _________________ Country: _____________________________________________
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Tel.: ________________________________ Fax: ________________________________________
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E-mail: ___________________________________________________________________________
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VAT No. (for EU companies) ___________________________________________________________
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Exhibition space requested:___________________________________________________________
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Sponsorship/Symposium_____________________________________________________________
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Signature:________________________________________________ Date:____________________
***SIGNED BY EXHIBITOR/SPONSOR AS FORMING PART OF THE APPLICATION SUBMITTED***