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Corporate & Individual Sponsorship Confirmation Form

Having studied the proposal on the above program, we/I hereby confirm our/my sponsorship of the Diaspora Mobile Screening & Enlightenment Campaign in the following Local Government Area(s)::
Name of Organisation/Sponsor
Nature of Business
Address
Telephone
Fax
Contact person Name
Contact person Tel
Please indicate names of the Local Governments you wish to sponsor for the Mobile Health Screening & Campaign and suggest possible dates. Attach extral sheets if necessary.
Name of Local Govt.

State

 Suggested Date

Total Sponsorship amount (N):

List of other items (e.g. Advert materials, logo, stationery):

Date of Presentation of cheque & other items:

Name & Tel of Presentation Officer:

Sponsorship benefits include free advert space & logo in Campaign Booklet, posters & banners; complements on radio announcements, logo or name on T-shirt, venue decoration and more

For more information, please contact                                                                                                                                    

Dr Jonathan Obaje Tel: +65 9672 2797    Email: obajeoj@urah.com.sg

Dr Elie Okirie Tell:+44 7951 490 373, Email: okirie@tiscali.co.uk
 
You may also Contact the Campaign Liaiason Offices nearest to you. Click here
 
 


 

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