(Business, Organization or Individual)
The receipt will be issued to the name and address below.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide a high-resolution company logo for inclusion in event materials.
Attach your bank transfer slip — JPG, PNG or PDF, max 10 MB. (Optional — you may also send it later.)
Payment Information
Savings Account: Siam Commercial Bank (Head Office) Account Name: THAI DIETETIC ASSOCIATION (APCCN) Account No.: 416-220212-8 SWIFT CODE: SICOTHBK
By submitting this form, the sponsor agrees to the terms outlined in the sponsorship levels and commits to providing the selected sponsorship amount. The organizer reserves the right to allocate benefits based on the sponsorship level and payment received.