Sponsorship Interest Form

Thank you for your interest in participating as a sponsor for ICANN's 36th International Public Meeting in Seoul! Payment and signed sponsorship agreement must be confirmed by 16 September 2009. Upon submitting the information below, you will be provided with an invoice and further details about the event. Please allow 2-3 business days for receipt.
Any staff of the Sponsor who will be attending the meeting (or working the booth) should pre-register as "Sponsor" to be issued an exhibitors badge. Note: Sponsor badges do not include access to any food or beverage service.
If you have any questions, please contact: Tanzanica King, Communications & Publications Manager, via email to: meeting-sponsorship@icann.org.
Sponsorship Interest Form
Is this your first time sponsoring an ICANN Meeting? Yes No
Please select one of the levels of interest below. ICANN may also accept sponsorship outside of the standard levels, or in the form of services and goods to help support the event. Custom sponsorship packages must be approved prior to submitting this form.
Sponsorship Level: Platinum ($50,000.+ USD) Gold ($25,000. USD) Silver ($10,000. USD) Bronze ($5,000. USD) Customised Sponsorship
Sponsor Details Please provide full name, contact person, and billing address for the Sponsor. If a PO number is required on your invoice, please enter it below.
Organisation:
Address:
City:
State/Province:
Postal Code:
Country:
Website:
Contact:
Title/Position:
tel:
mobile:
email:
PO number for invoice:
Registration Materials All materials must be received by WEDNESDAY, 14 OCTOBER 2009 to ensure inclusion in the registration bags. Shipping instructions will be provided at least 30 days prior to the deadline.
Please provide details about any printed materials and/or promotional items Sponsor will provide to be included in the registration bags. *Maximum items allowed per Sponsorship Level:* Platinum: 5, Gold: 4, Silver: 3, Bronze: 2
Total items:

Item 1:
Item 2:
Item 3:
Item 4:
Item 5:
Exhibitor Booths Booth spaces will be assigned according to sponsorship level and date of signed contract. All booths will include: 10 ft x 10 ft space, at least 1 electrical outlet, and Wireless Internet Access.

Will Sponsor use a booth?	Yes No

Additional booth requirements (check all that apply):	10 foot back wall pipe & drape 6 foot table table drape chairs (2)

Comments:
Meeting Space Use of additional meeting space at the venue will be provided to Sponsors with a Gold Level Sponsorship Commitment or higher when possible. Please determine your exact needs prior to making your request for additional meeting space and include your meeting details below so we can do our best to accommodate you.
Please note: ICANN is not responsible for A/V or catering arrangements in Sponsor meeting rooms. All arrangements for these services must be made by Sponsor directly with the hotel. A contact at the meeting venue will be provided as needed. Sponsor will be responsible for any expenses relating to special services requested in meeting rooms.
Is Sponsor requesting meeting space? Yes No
Room Scheduling Please consider the actual time you will need the meeting room. For example, will you actually use the room on the Friday at the end of the meeting? Will you need the use of a room all day, or will the space be used for just a couple hours each day?
Dates Requested: Su, 25 Oct Mo, 26 Oct Tu, 27 Oc W, 28 Oct Th, 29 Oc Fr, 30 Oct

Please indicate desired schedule for each day selected above:

No. of participants:
Sponsorship Agreement: A signed Sponsorship Agreement will be required along with your payment to begin receiving benefits. Click Here to Download the Sponsorship Agreement Upload your electronically signed agreement below or send to: ATTN: Tanzanica King, Comm & Publications Mgr ICANN 4676 Admiralty Way, Suite 330, Marina del Rey, CA 90292 USA +1 310 823 9358 or fax to: +1 310 823 8649

Upload signed sponsorship agreement:
Upload your high resolution logo:
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