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Individual sponsorship form

Become an individual sponsor of WW 2011 and help make this important international gathering more accessible to more women.

Your name: *

Email: *

Postal address: *

Country: *

Postal code: *

Primary telephone number: *

My pledge (please select one): *

A) Sponsoring an individual's participation from an under-resourced community ($2500.00 CAD)

B) Sponsoring the registration fees of five (5) participants ($500.00 CAD)

C) Donating to the Solidarity Fund in the amount (CAD) of your choosing

D) Donating to translation costs in the amount (CAD) of your choosing

E) Donating towards accessibility accommodation costs in the amount (CAD) of your choosing

Choice and amount to be submitted: *

(i.e. C $200)

Click "submit" for details on where to send your cheque

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