Core Summit Sponsor Form

Sponsor Information Form

Sponsorship level:___________________________

Company Information

Method of Payment

To ensure that your company information is listed accurately, please fill in the blanks below.

Your payment secures your reservation and is required prior to the event.

Company name ___________________________________ Address__________________________________________ City, State, ZIP ____________________________________

Personal check

Company check

for $_______________________made payable to CORE Credit card: American Express

Discover

MasterCard

Visa

Phone____________________________________________

Amount $________________________________________

Fax______________________________________________

Name on card____________________________________

Website___________________________________________

Card number_____________________________________

Primary contact name_______________________________

Expiration date___________________________________

Title______________________________________________

Today’s date_____________________________________

E-mail____________________________________________

Authorized signature______________________________

Authorized Signature_______________________________

Logos & Files Attendee Information Please provide the information of the person who will be attending the Summit. Name _____________________________________________

• Online/electronic logo: Please e-mail a 72 dpi .JPG or non-animated .GIF whose pixel width does not exceed 180 pixels to [email protected]. • Print logo: Please e-mail original vector artwork (Adobe Illustrator [.AI or .EPS]) to [email protected].

Title______________________________________________ E-mail_____________________________________________ Phone_____________________________________________

Please register online to attend the Summit at www.regonline.com/coresummit2010 using the discount code: sponsor10

To take advantage of the full benefits of sponsorship, please submit your Sponsor Information Form and logos as soon as possible, to: Natalie Niffenegger Marketing & Sales Assistant CORE, Inc. [email protected] 2560 9th St. Suite 220A 888-249-6155 x127 Berkeley, CA 94710 Fax: 888-460-4520