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Sponsorship Opportunities:
Sponsorship Information and Benefits
Registration Fees:
  • Israel-Based Presenting Companies:
    		• $200/company
  • U.S. Midwest Companies and Venture Capital Firms/Investment Banks:
    		• $250/ first person attending from company
    $150/additional person same company
    Registration Form:
    ONLY PRE-ACCEPTED, PRE-PAID REGISTRANTS MAY ATTEND

    I WANT TO PARTICIPATE AS A (please check one)
    Israel-Based Company
    U.S./Global Corporation
    Venture Capital Firm/Investment Bank
    Event Sponsor
     
    PARTICIPANT INFORMATION
    * Required Fields
    * First Name
    M.I.
    * Last Name
    * Title
    Division
    * Company
    * Address
     
    * City
    State
    * Postal Code
    * Country
    * Phone
    Fax
    * E-mail
    Website
     
    MY INTERESTS ARE
    Sale of Products in the U.S. Product development partnership
    Sale of Products to Israel Investment/Capital
    Licensing of products and technologies Marketing assistance
    Distributors or agents Technology transfer
    Research cooperation  
     
    MY COMPANY'S AREAS OF ACTIVITY ARE
    Rank your company's sectors of specialization according to the instructions provided. Select all that apply:

    Medical Devices
    NA = Not Applicable    		 Regenerative Medicine / Stem Cells
    1 = Regenerative Medicine   4 = Stem Cells
    NA = Not Applicable
     
    Diagnostics / Imaging
    1 = Diagnostics   4 = Imaging
    NA = Not Applicable    		 Nanotechnology / Tools
    1 = 1 = Nanotechnology   4 = Tools
    NA = Not Applicable
     
    Digital Healthcare
    NA = Not Applicable    		    

     
    ISRAEL-BASED TECHNOLOGY PRESENTERS ONLY
    (skip to Payment Schedule if you are not a Technology Presenter)
    Please select the appropriate answer:
    My company has applied for a U.S. patent Yes No
    My company has obtained a U.S. patent Yes No
    My company's U.S. patent pending Yes No
    My company's products(s) meet all U.S. required standards and regulations Yes No
    My company's product(s) will meet required standards and regulations (include standards and target dates)
     
    PAYMENT SCHEDULE
    Israel-Based Technology Presenters
  		• (US) $200 per company (up to 3 participants).
  		•  No refunds for cancellations after February 15, 2008.
     
    U.S./GLOBAL CORPORATIONS
  		•  (US) $250 for the first company registrant and $150 for each additional registrant.
  		•  No refunds for cancellations after February 15, 2008.
     
    SPONSORS
  		•  Titanium - $25,000
  		•  Platinum - $10,000
  		•  Gold - $5,000
  		•  Silver - $3,000
  		•  Bronze - $1,000
     
    TOTAL REGISTRANTS  
    TOTAL DOLLARS $ (See above for rates for your category)
     
    CREDIT CARD INFORMATION
    American Express     MasterCard     Visa
    Card Number    Exp. Date
    Amount Paid
    Name (as it appears on credit card)
     
    Names and titles of colleagues from my location/business unit covered by this registration*
    1
    2
    3
    4
    5
    6
    7
    8
    *Use additional registration forms for colleagues from different locations/business units. The posted rate schedule applies company-wide, and credit cards will be debited accordingly.
    AICC would like to know whether participants would appreciate any connections for Shabbat dinner while you are in Chicago. Please check this box if you are interested and the Chamber will endeavor to assist you with these arrangements either in the hotel or, perhaps, with AICC members in their homes.
     
    America - Israel Chamber of Commerce Chicago
    247 S. State Street, Suite 1500
    Chicago, IL 60604
    Tel: 312-235-0586
    Fax: 312-235-0724