WHTC Sponsorship Contribution Form

WOMEN’S HIGH TECH COALITION SPONSOR FORM
Print this Page and Send It with Your Check
DATE:	_____________ INVOICE #: _____________
COMPANY:	__________________________________________________
NAME:	__________________________________________________
TITLE:	__________________________________________________
ADDRESS:	_____________________________________________________
CITY \| ST \| ZIP:	_____________________________________________________
PHONE:	_____________________________________________________
E-MAIL:	_____________________________________________________
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ANNUAL SPONSORSHIP CONTRIBUTION :
___	CHARTER CORPORATE SPONSOR: $25,000
___	NATIONAL CORPORATE SPONSOR: $10,000
___	EVENT SPONSOR: $5,000 EVENT DATE: __________
___	OTHER AMOUNT $____________________

Print Page Close page	MAKE CHECKS PAYABLE TO WHTC & REMIT w/FORM TO: Mr. E. Stisser WHTC, c/o The Dutko Group 410 First Street, S.E. Washington, DC 20003 (202) 479-7141