CUBO Corporate partner application form

Your Company

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* 1. Partnership

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* 2. Organisation

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* 3. Primary Address

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Country

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* 4. Company website

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* 5. Brief company description & year of foundation

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* 6. Company size (staff & turnover)

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* 7. Key clients

Contact Details

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* 8. Primary Contact Name

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* 9. Primary Contact Email

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* 10. Primary Contact Telephone

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* 11. Secondary Contact Name

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* 12. Secondary Contact Email

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* 13. Secondary Contact Telephone

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* 14. Conference Contact (main contact for all conference administration)

University Reference

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* 15. University Reference 1 (name/tel/email)

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* 16. University Reference 2 (name/tel/email)

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* 17. Any other information relevant to this application

Finance

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* 18. Finance contact name

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* 19. Finance contact email

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* 20. Finance contact number

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* 21. Full invoicing address

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* 22. Do you require a PO Number on the invoice?