SPONSORSHIP BOOKING FORM
Sponsorship Category
Gold (
...
remaining)
RM 50,000
Silver A : Hospitality Suite (
...
remaining)
RM 30,000
Silver B : 1 Booth + Tea Symposium (
...
remaining)
RM 30,000
Silver C : 2 Booths (
...
remaining)
RM 30,000
Bronze Diamond (
...
remaining)
RM 20,000
Bronze Premium (
...
remaining)
RM 18,000
Bronze A : Perlis Room (
...
remaining)
RM 15,000
Bronze B : Booth (
...
remaining)
RM 15,000
Additional Sponsorship
Lunch Symposium (
...
remaining)
RM 20,000
Tea Symposium (
...
remaining)
RM 15,000
Conference Bag : 800 pax(
...
remaining)
RM 16,000
Conference Lanyard : 800 pax(
...
remaining)
RM 8,000
Scientific Oral Presentation Prizes : 3 Winners(
...
remaining)
RM 5,000
Scientific Poster Presentation Prizes : 3 Winners(
...
remaining)
RM 3,000
Lucky Draw Prizes (
...
remaining)
RM 5,000
E-Platform Advertisement
Package A : Video & Scrollable Banner(
...
remaining)
RM 5,000
Package B : Scrollable Banner(
...
remaining)
RM 3,500
Package C : Static Ads on Checkout Page(
...
remaining)
RM 2,500
Package D : Static Ads on Confirmation Email(
...
remaining)
RM 1,500
Booth Selected (for package bundled with booth)
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Name of Company
Address
Office Telephone No.
Correspondant Mobile No
Email
Payment Amount (RM)
IF PAID BY CHEQUE
Payment Cheque No
Payment Bank
IF PAID VIA ONLINE BANKING
Payment can be made via bank transfer to
Beneficiary Name
:
Malaysia-Singapore Congress Medicine
Account No
:
873-1-4640671-9
Name of Bank
:
Standard Chartered Bank Malaysia Berhad
Address of Bank
:
Petaling Jaya New Town Branch, Selangor
Swift Code
:
SCBLMYKXXXX
Upload Proof of Payment (PDF/JPG/PNG max file size is 2MB)