2014 Impact80 Caregiving & Health Summit 2014 Impact80 Virtual Summit Sponsor Information | Page 9

2014 IMPACT80 Summit --- Feb 11th, 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

--- SPONSORSHIP & adverstising Commitment Form ---

2014 IMPACT80 Summit --- Feb 11th, 2014

[email protected] www.carenovatemag.com