Sponsorship Interest Form

Thank you for your interest in participating as a sponsor for an International, Public ICANN Meeting in 2010.

 

Please download and review the Sponsorship Agreement prior to completing this form.

Click here to download the Sponsorship Agreement
 

Sponsorship Interest Form

Upon submitting the information below, you will be provided with an invoice and further details about the event. Please allow 3-4 business days for receipt.

 

Is this your first time sponsoring an ICANN Meeting?   Yes   No

 

2010 ICANN Meeting Schedule:

ICANN 37, Nairobi, Kenya,  Dates:  7-12 March 2010

ICANN 38, Brussels, Belgium,  Dates:  20-25 June 2010

ICANN 39, Latin America (TBD),  Dates:  5-10 Dec 2010
Please select your meeting of interest: ICANN 37 ICANN 38 ICANN 39

 

Please select one of the sponsorship 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.

 
Organisation:
Website:
Primary Contact:
Title/Position:
tel:
mobile:
email:
Billing Address:
City:
State/Province/Region:
Zip/Postal Code:
Country:
Invoice PO Number (if needed):

 

Registration Materials

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. 

 
Will Sponsor use a booth? Yes No

 

All booths will include:

10 ft x 10 ft space, at least 1 electrical outlet, and Wireless Internet Access.

You may also select from the following additional booth options. Please select all applicable requirements.

 

Additional Booth Requirements:

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 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?  

 

Days Requested:

Sun, Day 1 Mon, Day 2 Tue, Day 3 Wed, Day 4 Thu, Day 5 Fri, Day 6

 

 

Please indicate desired schedule for each day selected above:

 

No. of participants:

       

Before you submit:

Upload your electronically signed agreement below OR send to:

Tanzanica King, Comm & Publications Mgr, ICANN

4676 Admiralty Way, Suite 330, Marina del Rey, CA 90292 USA

tel +1 310 823 9358  fax +1 310 823 8649

 
Upload signed sponsorship agreement:
Upload your high resolution logo:
Upload logo guidelines or additional logo format: