Sponsor Registratie formulier Basis

Company name *
Name *
Initials *
Title (Mrs, Ms, Mr, Dr, Prof.)
Company address *
Street AddressApt, Suite, Bldg. (optional)StadStaat / provincie / regioPostcodeLand
Phone
Fax
Email
Website address
Branch / Line of Business
Invoice address
Street AddressApt, Suite, Bldg. (optional)StadStaat / provincie / regioPostcodeLand
Notice: payments please in advance to the bank account of the association mentioning: partnership 2020

The different levels are mentioned in the table below. By choosing a specific package your company is entitled to be called: “Industrial Partner of the Benelux Association of Stable Isotope Scientists (BASIS)”. Dependent on the level you will be listed as a “super elite”, “elite” or “regular” partner. In return the society is obliged to organize an annual meeting. This obligation only holds when a sufficient number of industrial partners and members of the society have registered so that the board can accept the financial consequences of such a meeting.
Registration as an industrial partner: Three packages are offered concerning different prices (€2500, €1500 and €750 euro per year) and different facilities, presentations at the annual meeting and communication with BASIS members.
Our company requests registration as an industrial partner of the Benelux Association of Stable Isotope Scientists (BASIS):
Partnership level *
Super Elite € 2.500 per year excl. VATElite € 1.500 per year excl. VATRegular € 750 per year excl. VAT

Name Eerste Laatste
Email
Name Eerste Laatste
Email
Partnership duration
1 year 20202 years 2020, 2021 (5% discount)3 years 2020, 2021 and 2022 (10% discount)
Notice: payments via the bank account of BASIS: “Industrial partnership 2020”.
Technical Session on Thursday morning:
Will you organize a technical session? *
YesNo

Special whishes / preferences
Please indicate here any suggestions to the society to adapt your sponsor package or to improve the interaction between BASIS and industry.
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