Limited spaces are available for sponsored sessions’: breakfast and lunch meetings, side sessions, and skills building workshops.  Meeting venue will be made available at the rate of $1,500 USD per meeting/session. Presentation focused on any of the conference sub themes will be considered and given priority.

The Conference Coordinator
c/o Action Health Incorporated
17 Lawal Street, off Oweh Street, Jibowu.
P.O. Box 803 Sabo Yaba
Lagos, Nigeria
Tel: +234 1 774 3745, 7919307
Email:

Sponsored Session Request Form Asterisked fields are required.
Name of Organisation*
Abbreviation of Name (If applicable)
Country*
Field of Work*	Select Adolescent and Youth Sexuality Women’s Sexuality Family Planning and Reproductive Health HIV/AIDS and Sexuality Sexuality and Religion Sexual Abuse and Gender Based Violence Culture, Media and Arts Sexuality and Knowledge Management (Im)Mobility and Sexuality Sexuality and the Law
Type of Organisation*	Select NGO CBO Government International Media Other Other, Please state
Contact Address*
Telephone*
Fax*
Email Address*
Website
Fullname of the head of the organization*
Position of the head of the organization*
	Requested Terms
Date and Time Requested*
Satellite's Theme*
Will you order additional equipment?*	Select Yes No