2024 Sponsorship Request Form

Please complete the Sponsorship Request Form below to be considered for the reservation of a support opportunity, Business Suite, Business Pod, and/or Industry Showcase during the upcoming ACTRIMS Forum 2024 and/or Neurology Resident Summit in Multiple Sclerosis. This request form does not constitute a contract. A binding contract between the Industry Supporter and ACTRIMS will only be formed once written confirmation of acceptance and a formal invoice is sent by ACTRIMS to the Industry Supporter.

Note, this online form only contains promotional opportunities. The opportunities described on this page recognize commercial interests' valued contributions to the social and networking opportunities of each program. Industry Supporters are required to distribute this information as well as any supporting manuals or documentation to all third-party vendors acting on behalf of the supporter and to all staff.

All information is confidential. All prices are in USD.

Industry Supporting Organization *

Contact Name *

Title *

Business Phone Number *

Email Address *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Country *

Organization Corporate Logo (High-Resolution PNG) *

Link to Organization Corporate Website (may link to corporate neurology specific webpage) *

Please indicate the requested sponsorship event (check all that apply). *

ACTRIMS Forum 2024

Neurology Resident Summit in Multiple Sclerosis

Please indicate the requested sponsorship opportunities for the ACTRIMS Forum 2024 (check all that apply).