International ADIafrica Summit Circular Economy and Sustainability (IASCES) From 3rd to 5th November 2022. Venue: Provinciehuis, Provincieplein 1, 3010 Leuven, Belgium. Sponsorship Form: 1. Title: Prof.Dr.Mr.Mrs.Ms. 2. Last Name (required): 3. First Name (required): 4. Address For Correspondence (required): 5. Country (required): 6. Institution/Company (required) 7. Telephone(required): 8. Fax: 9. E-mail Address (required): 10. Website: 11. CHECK ALL THAT APPLY. I want to be a : Silver Sponsor (500 €)Gold Sponsor (1500 €) In return I will receive the stand, the conference ticket and the publicity that is mentioned in the sponsorship and exhibitor’s brochure. 12. Input the total amount (in Euros or equivalent) you will be paying or have paid. Please specify the correct currency: 13. Upload your Proof of Payment. Maximum Size 2MB. Make payment into the bank account information provided on this page. By submitting this form, I have read and agreed to the Exhibitor's Terms and Conditions. For more information, contact the ADIafrica Secretariat:Address: No. 21 Wimpey Road, Mile 4, Port Harcourt, Rivers StatePhone: +234 814 616 8179Whatsapp: +234 701 245 8654E-mail: contactus@adiafricadev.orgWebsite: www.adiafricadev.org