LCA Empowerment Series Sponsorship
Leadership Coalition on Aging cordially invites you to join us as a sponsor or exhibitor for it’s 2020 Senior Empowerment Series.
SERIES SPONSORSHIP PACKAGES (Check one)
$
Sponsor/Exhibitor RESPONSIBILITY: Exhibitor assumes entire responsibility and hereby agrees to protect, indemnify, and defend the Leadership Coalition on Aging, and any event locations, the affiliates, officers, employees and partners of each harmless against all claims, losses and damages; including negligence to persons or property, governmental charges or fines and attorney’s fees arising out of or caused by Exhibitor’s installation, removal, maintenance, occupancy or use of the exhibit premises or a part thereof. In addition, Exhibitor acknowledges that the indemnified parties do not maintain insurance covering Exhibitor’s property and that it is thesole responsibility of the Exhibitor to obtain business interruption, property damage and comprehensive general liability insurance. We/I have read and agree to abide by all requirements, restrictions and obligations set forth in this form. We/I further acknowledge that the Leadership Coalition on Aging reserves the right to reject, at its discretion, any application to exhibit.
I have read the above agreement and agree to the terms:
First
Last
Address *
Address
City
State/Province
Zip/Postal
I Will Pay By: *
Check payments are to be made out to: Collier Senior Resources with “2020 Senior Emporwerment Series” in the memo.
Please send form and payment to:

Collier Senior Resources c/o LCA
4898 Coronado Pkwy
Naples, FL 34116

Sponsorship opportunities are on a first come, first serve basis and sponsorship is not confirmed until payment has been submitted. Please complete the form above. Questions? Contact:

Adam Corcoran
(732) 300-4758
acorcoran@goldencarefl.com

OUR FEDERAL TAX IDENTIFICATION NUMBER IS 27-0946278. COLLIER COUNTY SENIOR RESOURCE CENTER, INC. D/B/A COLLIER SENIOR RESOURCES IS A 501(C)(3) TAX EXEMPT ORGANIZATION, FOR BOTH FEDERAL AND STATE TAX PURPOSES. A COPY OF OUR OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE FLORIDA DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE (CH-33018). REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.