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DIGITAL

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Sponsor Options

RECHARGE Health & Wellness Event

Payment Authorization

First name

Company

Last name

Phone

Birthday * required

OPTION 1: RECHARGE FC Naples Event | August 9th

SILVER SPONSOR $500

GOLD SPONSOR $1,000

PRESENTING SPONSOR $2,000

OPTION 2: RECHARGE The Perry Hotel Event | September 6th

SILVER SPONSOR $500

GOLD SPONSOR $1,000

PRESENTING SPONSOR $2,000

BEST DEAL: RECHARGE FC Naples Event + The Perry Hotel Event | BOTH

SILVER SPONSOR $750

GOLD SPONSOR $1,500

PRESENTING SPONSOR $3,000

Payment Information

Card Type * Required

Visa

Mastercard

AMEX

Discover

Other

Cardholder Name

Card Number

Expiration Date

CVV Number (3 Digit number on back of Visa/MC, 4 digit on front of AMEX

Billing Address

Electronic Signature: Please sign in the space below

Date * required

I authorize the above named business to charge the credit card indicated in this authorization form. This payment authorization is for the amount in the payment terms agreed above only. I certify that I am an authorized user for this credit card and that I will not dispute payment with my credit/debit card company. I understand that the payment is non-refundable.

*After hitting the submit button, please allow a brief moment for our system to verify your information.

Contact

5051 Castello Dr.

Naples, FL 34103

info@naples2night.com

239-933-5133

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