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

    [recaptcha]

    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