CAREB-ACCER National Conference Sponsorship/Vendor Registration Form

Question Title

* 1. Registration Details:

Company Name

Contact Name

Company Address

Contact Phone#

Contact Email

Question Title

* 2. Please tell CAREB about your company/organization and its relevance to Canadian Research Ethics

Question Title

* 3. Billing: Do you require an invoice from CAREB-ACCER?

No, a copy of this registration form is sufficient

Yes, billing info is same as above

Question Title

* 4. Please indicate your vendor level:

($1500) - one 6'x30" skirted table with two chairs; one electrical outlet; WIFI connection for one device; and full conference registration for ONE person. Note: these are not standard 10x10 spaces and do not have any hard walls.

($2000) As above with full conference registration for TWO people

Exhibitor fees waived through agreement with CAREB

N/A, as I elect to sponsor an conference event (see next question)

Question Title

* 5. Please indicate your sponsorship level:

($10,000) - Platinum (i.e. Dinner)

($5000) - Gold (i.e. Reception)

($2500) - Silver (i.e. Networking/Business Lunch)

($1000) - Bronze (i.e. Coffee Break)

N/A, as i have selected to exhibit as a vendor (above)

Question Title

* 6. Form completed by:

Name

Email Address

Phone Number