Sponsorship Application Form for 22nd IUNS-ICN

Company Name ＊

Please note that the company name you input will be printed in the program book etc. as it is.

Address 1 ＊

Address 2 (Country) ＊

Zip code ＊

Department ＊

Title ＊

• Mr.
• Ms.

First Name ＊

Last Name ＊

TEL ＊

"Space" is not available.

FAX

E-mail ＊

（For confirmation）

Logo data upload（Applicants for package and item sponsors)

Website link from logo (Applicants for package and item sponsors）

�T. Package plan

　

　Package plan

----- Please select ----- Diamond　JPY15,000,000 Platinum　JPY10,000,000 Gold　JPY5,000,000 Silver　JPY3,000,000 Bronze　JPY1,000,000 Congress partner　JPY500,000

　Do you intend to hold
　a luncheon seminar?

----- Please select ----- Yes No
(only for Diamond,Platinum,Gold and Silver applicants)

　Exhibition booth
　(Applicants for all package
　plan)

Need booth(s)
Each package plan includes exhibition booth(s).
If you do not want to exhibit, please enter “0”.

　Exhibition contents

�U. Luncheon seminar and
　 Sponsored symposium

　

　December 7 (Wed.)
　Luncheon Seminar

----- Please select ----- Luncheon Seminar A（170-240 seats） JPY800,000 Luncheon Seminar B（100-110 seats） JPY600,000

　December 8 (Thu.)
　Luncheon Seminar

----- Please select ----- Luncheon Seminar A（170-240 seats） JPY800,000 Luncheon Seminar B（100-110 seats） JPY600,000

　December 9 (Fri.)
　Luncheon Seminar

----- Please select ----- Luncheon Seminar A（170-240 seats） JPY800,000 Luncheon Seminar B（100-110 seats） JPY600,000

　December 10 (Sat.)
　Luncheon Seminar

----- Please select ----- Luncheon Seminar A（170-240 seats） JPY800,000 Luncheon Seminar B（100-110 seats） JPY600,000

　December 7 (Wed.)
　Sponsored Symposium

----- Please select ----- Sponsored Symposium A（170-240 seats） JPY800,000

　December 8 (Thu.)
　Sponsored Symposium

----- Please select ----- Sponsored Symposium A（170-240 seats） JPY800,000

　December 9 (Fri.)
　Sponsored Symposium

----- Please select ----- Sponsored Symposium A（170-240 seats） JPY800,000

�V. Advertisement

　

　Inside back cover

• Apply　JPY160,000

　Opposing page of
　the inside back cover

• Apply　JPY100,000

　Advertisement (1 page)

Advertisement (1 page) (JPY80,000)× page(s)

　Advertisement (1/2 page)

Advertisement (1/2 page) (JPY40,000)× page(s)

�W. Item Sponsor

　

　Congress bag
　 (Logo printed)
　※Exclusive sponsor

• Apply JPY5,000,000

　Congress bag
　 (Inserting company flyer)

• Apply　JPY500,000

　Name badge lanyard
　※Exclusive sponsor

• Apply　JPY2,500,000

　App advertisement
　※Exclusive sponsor

• Apply　JPY1,500,000

　Poster and exhibition area
　※Exclusive sponsor

• Apply　JPY1,800,000

　Welcome reception
　※Exclusive sponsor

• Apply　JPY500,000

　Gala dinner
　※Exclusive sponsor

• Apply　JPY600,000

　Wifi advertisement
　※Exclusive sponsor

• Apply　JPY2,000,000

　PC preview room
　※Exclusive sponsor

• Apply　JPY1,800,000

　Website banner

• Apply　JPY500,000

�X. Sponsorship contribution

　

　Amount

JPY

　Memo