Sponsorship Form – Fireside Chats

First Name
Last Name
Email
Phone

Yes - I would like to be a sponsor

Yes - I would like to participate in one of the following Fireside Chat conversations:

Payment in the amount of $5,000 will be made payable to 100ABCWomen and sent in the form of:
Chequee-Transfer

Thank you for your sponsorship. We look forward to your engagement.

Your sponsorship dollars will help cover the cost of the following: Technical support; Honoraria for Moderators, Coaches, Advisors, Schedulers, Operations and support.

Dauna Jones-Simmonds - 416-505-6992