Buyers VIP Incentive Program

The buyer incentive program will be offering a predetermined number of discount registrations, free registrations, hotel room nights, and flights to those who complete the buyer incentive program application. The application will be submitted to the buyer committee for pre-approval and additional follow up will only be required if more information is needed.

By completion of this application it does not guarantee any level of sponsorship. The Buyers Committee will determine the number of sponsored buyers and levels of sponsorship based on the information of an individual’s application. Misrepresentation of information on the application will result in immediate disqualification of the program. Applying for the buyer VIP Incentive program is not a guarantee of receiving a discount registrations, free registrations, hotel room nights, and flights. The buyers chosen shall be at the sole discretion of the conference organizers and the conference organizers may change, alter or terminate this program at any time for any reason. Conference Organizers may cancel any sponsored buyer at any time for any reason with no recourse.

Organized By

Sponsors

2010 Diamond Sponsors

2010 Gold Sponsors

2010 Silver Sponsors

2010 Bronze Sponsors

American Institute of Minimal Invasive Surgery

2010 Media Sponsors

2010 Exhibit Booth Sponsors

2009 Diamond Sponsors

2009 Platinum Sponsors

2009 Gold Sponsors

2009 Silver Sponsors

2009 Bronze Sponsors

2009 Exhibit Booth Sponsors

2009 Sponsors

Ph: 561-792-6676 - Email: info@medicaltourismcongress.com

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First Name:*
Last Name:*
Title: *
Email :*
Company Name:*
Company Website:
Address:*
Country:*
City/State:
Zip Code:*
Phone:*
Fax:*
Are you a Insurance Company:*	Yes No
If so what kind:*
How many corporate and individual clients do you have? *
Health insurance agent, consultant or broker:*
TPA:*
Medical Tourism Facilitator?*	Yes No
If yes, how many patients did you arrange for medical tourism in 2009? *
Describe the Nationalities of your Major Patients and the Top 5 Destinations Countries you have Worked With? *
Other:*
What Countries do you do Business in? *
Title: *
Why are you interested in Medical Tourism Conference? *
Describe your business in regards to the Medical Tourism Industry: *
Interested in Speaking Opportunity : *	Yes No
A limited number of flights and hotel will be available to buyers at the discretion of the Buyer Incentive committee. All flights will be non-transferable, economy flights, subject to restrictions and from specific departure ports. Please select one of the following: (check one only).
I am happy to arrange my flights (at my cost) to the Association , as long as I get free registration I would like to be considered for a hotel (3 nights) I would like to be considered for a flight (economy class) if one is available Only consider my application if a flight and hotel is available for me

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