Commercial Sponsorship

Commercial Sponsorship Requests

LivaNova's Commercial Teams will consider commercial sponsorship for events that are relevant to LivaNova's therapeutic areas that is requested in exchange for displays such as the LivaNova logo on the event website and program brochure, event email, social media, website(s), event press release and virtual background for the event.

Geographic Area:
Applicant Organization Name:	X Applications must be submitted by or on behalf of a legal entity/organization, as opposed to individuals (i.e. no funds/products will be provided to individuals, but only to organizations)
Name in local Language (if different from above):
Applicant Organization Address:
Organization Type:	X E.g., hospital; NGO; for-profit organization; professional society; university…
Organization Tax ID:
Website (if applicable):
Please upload W-9 form (US only):
Please download the LivaNova Commercial Sponsorship Form, fill it out and upload the completed form here:
If your application involves the donation or loan of LivaNova products, please download the Product Request Form, fill it out and upload the completed form here:
If you have additional documentation you'd like to share with LivaNova, please attach it here:

To which area does your application relate to?:	Neuromodulation Cardiopulmonary Advanced Circulatory Support
Full name of the person submitting the application on behalf of the applicant-organization and who will be the primary point of contact for LivaNova:
Relationship of the above-mentioned person with the applicant-organization (e.g. position / role):
Contact email address:	X Please make sure there are no spelling mistakes in the email given as this will be the primary contact method used by LivaNova to communicate with you and your organisation.
Contact phone number:	X Please include country prefix, e.g. 0044 for UK, 001 for US, etc.
I consent to the collection and processing of my personal data per LivaNova’s Privacy Notice:
Submission Date:

Connecting to server. Please wait.

Thank you! We’ll be in touch.

Something went wrong. Please check your internet connection and try again.

The service you are trying to submit to is unavailable. Please try again at a later time.

*Denotes required field.