--- Sponsorship & advertising Commitment Form ---
2014 IMPACT80 Summit --- Nov 18th, 2014
Yes, I want to commit to support the 2014 IMPACT80 Summit as noted below. I understand that my signature signifies my commitment to pay for all sponsorship and/or advertising opportunities as stipulated herein.
Name: _____________________________
Company: __________________________
Signature:__________________________
Date: _____________________________
Total Commitment $: ________________
To complete sponsorship send your total commitment and email this form signed to [email protected]
SPONSORSHIP LEVELS
Platinum Sponsor: $2,000
Gold Sponsor: $1,000
Silver Sponsor: $750
Summit Ambassador Sponsor $500
Start Up Sponsor: $250
CLICK on the page,
you will be directed to
payment page
2014 IMPACT80 Summit ---NOV 18th, 2014
[email protected] www.carenovatemag.com