Pacifichem 2021 - Symposia Sponsorship Form

Organizers are now welcome to recruit sponsors for their symposia for Pacifichem 2021. Symposia organizers should complete this form in order to ensure sponsors are recognized and funds and distributed correctly. Symposia sponsors will be listed on the Pacifichem 2021 website and program. Organizers may also acknowledge their sponsors in their individual symposia through signage (inside or right outside of their symposia room) and slides. There will also be a table at the back of each symposium room for materials. After this form is complete the sponsor will be sent an invoice. The next steps in the process are listed on the Pacifichem website, here: https://pacifichem.org/exhibitorssponsors/ Please direct questions to Sydney Vranna, Congress Logistics Manager at Pacifichem@acs.org.

Symposia Information

Please include the contact information for the person who will be organizing the symposia so we may contact them with status updates of sponsorship funds.

Organizer First Name*

Organizer Last Name*

Organizer Email*

Organizer Phone Number*

Symposia Name*

Select the symposia name from the list.

Select

Sponsorship Information

Please include contact information for your sponsor so we may contact them to collect funds and also list their company information correctly.

Sponsoring Company Name*

Sponsor Contact First Name*

Sponsor Contact Last Name*

Sponsor Contact Email Address*

Sponsor Contact Phone Number*

Sponsor Mailing Address*

Sponsorship Amount*

Please list the sponsorship amount in US Dollars. The sponsor will be emailed an invoice with the USD amount listed.

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