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Request for Support Form - Ultrasound

FORM INSTRUCTIONS:

This is an application form to request support for exhibit space, 3rd party conference sponsorship, and educational grants for ULTRASOUND PROGRAMS ONLY, held in the United States. GE Healthcare’s receipt of this form does not imply a commitment to approve the application or provide any requested support. 

It is recommended that you submit your request at least 60 days in advance of your event to allow sufficient time to review and respond to your request. Please submit one form per event.


Please gather all the documentation prior to submitting your request. Those documents may include:
 
  • Ask Letter
  • Agenda
  • Exhibitor prospectus
  • Budget
  • Agreement or Contracts
  • Completed IRS W9 form
For further details or questions please contact:
Email: Brenda.Toy@ge.com
Phone Number: +1 (262) 352-8215
or
Email: Carrie.Zagzebski@ge.com
Phone Number: +1 (414) 544-2638





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