ARCSB 2020 SPONSORSHIP & EXHIBITOR REGISTRATION FORM

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2-4 March 2020 | Ombak Villa Langkawi, Malaysia

Sponsorship & exhibition opportunity for the 5th Asian Regional Conference on Systems Biology (2020) jointly organised by INBIOSIS, UKM with Chulalongkorn University and NAIST

Company/Organisation *

Contact Person *

Phone *

Email *

Mailing address *

Sponsorship *

Diamond Sponsor (MYR 10,000)

Platinum Sponsor (MYR 6,000)

Gold Sponsor (MYR 4,000)

Exhibition Space [with chairs and table] (MYR 3,000)

Technical Talk [Day 2/3] (MYR 3,000)

Conference Program Booklet Advertisement [internal cover-back-full page-grayscale] (MYR 1,500)

Conference Program Booklet Advertisement [normal-full page-grayscale] (MYR 1,000)

Conference Program Booklet Advertisement [normal-half page-grayscale] (MYR 500)

Other:

Required

Total amount of sponsorship *

In-kind Sponsorship

Payment Method:

Pay Cheque/Bank Draft/EFT :
UNIVERSITI KEBANGSAAN MALAYSIA

Account number:
8002234307

Bank Name:
CIMB Bank Berhad, Lot 1.04 & 1.05 Level 1, Wisma UNIKEB, Cawangan UKM Bangi, 43600 Bangi, Selangor, Malaysia

Swift Code:
CIBBMYKL

Please submit completed form and proof of payment to ARCSB2020 Secretariat (arcsbinbiosis@gmail.com) before 31st January 2020.

Details/ Special request(s)

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