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Institute for Quantum Computing
Quantum for Heath (Q4Health) Sponsorship Form
Organization Name
*
Address
*
Contact Name
*
First
Last
Position
*
Phone
*
Email
*
Sponsorship Option
*
[Sponsor name] Prize: $10,000
[Sponsor name] Healthy Aging Technologies: $10,000
[Sponsor name] Technologies for Low Resource Settings: $10,000
[Sponsor name] Seed Award: $1,000
Other
If you would like to sponsor more than one Seed Award, please enter the quantity below.
If selected "Other", please specify
*