AMICSA 2018 Sponsorship
SERMA - HCM
Sponsor opportunity Cost Commit
Poster/Postcard/Web/Registration Banner, Name and Logo along with Promotion at AMICSA Opening Comments €3000 _________
Company name/logo will appear on signage in the Conference Area for breaks and lunches and appear on the web
Monday, June 18th a.m. and p.m. breaks €1000 ________
Monday, June 18th lunch €1500 ________
Monday, June 18th reception €1000 ________
Tuesday, June 19th a.m. and p.m. breaks €1000 ________
Tuesday, June 19th lunch €1500 ________
Wednesday, June 20th a.m. break €750 ________
Wednesday, June 20th lunch €1500 ________
VAT will be added.
Company:_____________________________________________________________________
Contact Person:________________________________________________________________
Address:______________________________________________________________________
City: __________________________________ ZIP ___________________________________
Telephone: ______________________________Email:__________________________________
Payment in FULL is required upon receipt of form. Purchase Orders are NOT accepted
Payment is provided via:
Bank account: Imec vzw - BE16 2300 0285 7274 – GEBABEBB - 230-0028572-74- BNP Paribas/Fortis, Naamsesteenweg 173-175, 3001 Heverlee
Enclosed check (made payable to IMEC). If paying by check, mail to: Hilde Derdin – IMEC IC-link – Kapeldreef 75 – 3001 Leuven - Belgium
American Express ___ Mastercard ___ Visa ___
Amount being authorized:________________
Credit card #_______________________________ Expiration date: ___________
Cardholder name____________________________ Signature ___________________________
Address___________________________________ Tel # ____________________
If using credit card mail to: Hilde.Derdin@imec.be.
