2023 Buffalo Pharmaceutics Symposium Sponsorship Registration

2023 Buffalo Pharmaceutics Symposium Sponsorship Registration Form

Company Name*

Please list name exactly as you wish it to appear on all promotional materials

Contact Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

XXX-XXX-XXXX

Email*

Please indicate your sponsorship level*

Symposium Sponsor $10,000 Platinum Sponsor $5,000 Reception Sponsor $2,500 Poster Sponsor $1,000 Alumni Sponsor (please select this option and enter amount in the field below)

Alumni Donation

Please enter amount

Please make checks payable to: University at Buffalo Foundation and include note: Buffalo Pharmaceutics Symposium

Mail to:

University at Buffalo Foundation

PO Box 900

Buffalo, NY 14226

Questions – please contact: Leigh Yates, Executive Director of Advancement

Call 716-645-3432 or email ltyates@buffalo.edu