GHIC Sponsorship Registration Form

The 20th annual Global Health & Innovation Conference offers an unparalleled opportunity to build relationships with innovative, passionate individuals and organizations. Conference participants will be looking for products and services that will help them further advance their work in the fields of global health, innovation, and social entrepreneurship.

Organization Contact Details

Your registration for sponsorship will be reviewed by Unite For Sight. If approved, you will proceed to submit the registration fee of $5000.

Contact First Name

Contact Last Name

Affiliation within the organization

Email Address

Daytime Phone

Preferred sponsorship level

Platinum Sponsor ($10,000)

Gold Sponsor ($6,000)

Silver Sponsor ($5,000)

Organization Information

Organization Name

Organization Website Address

Mailing Address

Country

Street

City

Region

Postal Code