School of Medicine Annual Research Day
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ABOUT RESEARCH DAY
LOCAL ORGANISING COMMITTEE
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PROGRAMME
ABSTRACTS
ABSTRACT GUIDELINES
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SPONSORSHIP FORM
Sponsorship Form
Section 1: Organisation Details
Organisation Name
*
Industry / Sector
-Please Select-
Pharmaceutical
Medical Devices
Financial Services
Education / Research
Government
NGO
Other
Industry / Sector
Contact Person (Full Name)
*
Position / Title
*
Email Address
*
Contact Number
*
Section 2: Sponsorship Package Selection
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Select Sponsorship Packages
Bronze Package – R20,000
Silver Package – R30,000
Gold Package – R50,000
Platinum Package – R100,000 (Limited to two sponsors)
Vehicle Showcase Package – R70,000
Section 3: Exhibition Requirements
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Will you require exhibition space?
Yes
No
Additional Requirements
Electricity access
WiFi
Additional furniture
Branding support
Vehicle display (if applicable)
Other
Other
Section 4: Branding & Marketing Information
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Company Description (for programme & website)
Company Logo
Drop a file here or click to upload
Choose File
Maximum file size: 10MB
Would you like to utilise your speaking slot (if applicable)?
Yes
No
Not applicable
Section 5: Delegate Passes
Number of Representatives Attending:
-Please Select-
1
2
3
4
Other
Number of Representatives Attending:
Repeater
Names of Representative
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Add
minus1
Remove
Section 6: Terms & Conditions
I confirm that I have read and accept the sponsorship terms and conditions and commit to payment upon invoice issuance.
*
Yes
No
Submit
