CAREB-ACCER National Conference Sponsorship/Vendor Registration Form Question Title * 1. Registration Details: Company Name Contact Name Company Address Contact Phone# Contact Email OK Question Title * 2. Please tell CAREB about your company/organization and its relevance to Canadian Research Ethics OK 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 OK 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) OK 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) OK Question Title * 6. Form completed by: Name Email Address Phone Number OK DONE