International Symposium on Biomedical Imaging: From Nano to Macro
16-19 April 2015
ISBI’15 – Sponsor Opportunities
You are cordially invited to participate in this exciting gathering of physicians, biomedical engineers, and clinical
engineers at our ISBI’15 Symposium. You will have unique opportunities to interact with national and international
leaders from academia, industry and government on key R & D and policy issues; further gain visibility in a national and
global scale in the field of individualized healthcare. Please select one of the following options.
Platinum ($10,000+ USD)
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4 complimentary registrations
1 table top display
Company logo with a link to Company website on ISBI’15 website
Company name on Student Paper Competition Awards (three best student paper awards)
Full page Company listing in ISBI’15 program
Special recognition during welcome reception and other ceremonies
◊ Please check here if you do not want the tabletop display that is included with your sponsorship
Gold ($5,000 USD)
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3 complimentary registrations
1 table top display
Company logo with a link to Company website on ISBI’15 website
½ page Company listing in ISBI’15 program book
Special recognition during welcome reception and other ceremonies
◊ Please check here if you do not want the tabletop display that is included with your sponsorship
Silver ($2,500 USD)
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2 complimentary registrations
1 table top display
¼ page listing in ISBI’15 program book
Company Logo with a link to Company website on ISBI’15 website
◊ Please check here if you do not want the tabletop display that is included with your sponsorship
Basic ($1,500 USD - Technical Industry Sponsorship)
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1 complimentary registration
Company logo listed in ISBI’15 program book
Company Logo with a link to Company website on ISBI’15 website
Individual Contributors ($500-$1000 USD)
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Company Logo only on ISBI’15 website
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CONTACT INFORMATION (for correspondence and conference arrangements)
Contact Name _____________________________________________________________________________________________
Organization
_____________________________________________________________________________________________
Street Address _________________________________________________ City ________________________________________
State
____________________ Zip/Postal Code_______________ Country _____________________________________
Phone
____________________ Fax _________________________ E-mail_______________________________________
On Site contact
Cell Phone
Signage at tabletop/table to read (Please use CAPS only if CAPS are preferred) _______________________________________
PAYMENT
Check Enclosed (Made payable to “ISBI’15” and must be in U.S. funds drawn from a U.S. bank. EMB contact information
on last page)
Credit Card information listed below
Credit Card Number
__________________________________________ Expiration Date _____________________
Cardholder Name
___________________________________________ Security Code
_____________________
Cardholder Signature
_______________________________________________________________________________
Please charge this card $
AUTHORIZATION
I am authorized by my organization to enter into an agreement of conference support at the ISBI’15 IEEE conference as indicated
above, and I have carefully read and accept the rules and regulations listed herein.
Print Name
______________________________________________________________
Title
______________________________________________________________
Authorized Signature
______________________________________________________________
Date
______________________________________________________________
CHECKLIST and DEADLINES – ISBI’15
Please submit the following:
1. Priority deadline is 2 March 2015. If you submit this application after that date, acknowledgement of your organization will
only be on the conference website and not included in the printed program book .
2.
Please send final camera-ready art (vector file) electronically to [email protected] by 2 March 2015.
3.
Please send Company logo in vector and JPEG format no later than 2 March 2015, so ISBI’15 can post to the website and
include in the printed program book.
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Please complete this form for those individuals who are specifically assigned to staff your exhibit booth or for
complementary conference registrations that are included with your sponsorship category (if applicable).
CONFERENCE BADGES
Complimentary Registration (1)
_________________________________________________________________________________________________________________
*Last/Family/Surname
*First/Given Name
*Company, University or Other Organization
*Mailing Address
*City
US State/Province
*Telephone Number
*Postal/Zip Code
*Country/Region
Fax Number
*Email Address
Complimentary Registration (2)
__________________________________________________________________________________________________________________
*Last/Family/Surname
*First/Given Name
*Email Address
Complimentary Registration (3)
__________________________________________________________________________________________________________________
*Last/Family/Surname
*First/Given Name
*Email Address
EXHIBIT ONLY BADGES *provides access to exhibit hall only
Complimentary Exhibit Badge (1)
__________________________________________________________________________________________________________________
*Last/Family/Surname
*First/Given Name
*Email Address
Complimentary Exhibit Badge (2)
__________________________________________________________________________________________________________________
*Last/Family/Surname
*First/Given Name
*Email Address
For questions on sponsorship, exhibition, or the application, please contact Janice Sandler at Engineering in Medicine and Biology
Society (EMBS) • IEEE • 445 Hoes Lane, Piscataway, NJ 08854 • Telephone: +1 732 562 2673 • Fax: +1 732 465 6435
Website: http://www.embs.org • E-mail: [email protected]
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