Sponsors Registration

Organization/Company Name *

Affiliation *

Mailing Address *

City
State
Zip Code
Country *

Phone *

Fax *

Website *

Logo *

Poster *

Profile (provide a 250 word or less company description) *

Contact Information
Contact Name *

Contact Position *

Contact Prefix *

Contact Phone *

Contact Fax
Contact Email *

Commitment
Sponsorship Level *	Platinum Gold Silver Regular

Sponsorship Nationality *	Egyptian Non-Egyptian

Payment *	Cash Wire transfer