Please Reserve for the 6:00 Evening
Event:
___ seat/s at the member rate** $75 each
= $________
___ seat/s at the individual rate $100 each
= $________
___ tables of 10 for $1000 each
= $________
___ WIN, CAWA or USWC member’s table rate $750
= $________
___ Student seats @$40 (includes membership)
= $________
I want to sit at _____________________________'s
Table
• I/my company/organization will sponsor a table
for $750 ____ ( member rate) $1000 ___ $1,500 ____$2,500____
See other sponsor levels and benefits at the Corporate
Sponsor Page and at the Organization
Sponsor page
** I want to join WIN or CAWA: Global Circle
$100 ___ Friends of WIN $50_______ Special rates available
online HERE.
Download Membership
Form and fax to 415-373-3932, or mail to WIN.
• I cannot attend but wish to donate to
WIN & CAWA’s groundbreaking work to give all women a voice
= $________
• I want to offer a homestay to one ___ two ___ or more ___ participants coming from out-state or from out-of-state .
• I need overnight accommodations for one ___ or
two ___ nights. (Deadline for this request is September 18th)
• I am requesting a scholarship _____________
(Deadline is September 18th)
• I am donating to scholarships _____________ (Deadline
is September 22nd)
• Total Enclosed or sent by fax or Pay Pal,
payable to WIN = $ _____________
Name (print clearly) _______________________________________________
Address _________________________________________________________
City__________________________________ State _____ Zip _____________
Telephone _________________ Email_________________________________
You can pay on line at HERE
by Pay Pal .
Credit card information: Download
this form and mail to WIN or fax to 415-373-3932.
OR - Make check payable to WIN, 1950 Hayes St.
#2, San Francisco, CA 94117
Please charge $ ______ to my Visa ____ Mastercard ___
Card #______________________________ Exp. ________ CV2#___________
Cardholders’ Signature _____________________________________________
We won't turn you away - contact
us for a discount at win@win-cawa.org
WIN is a 501c(3) organization. All donations are deductible to the full extent permitted by law.
IRS # 94-3204314 For more information: www.win-cawa.org or call 415-221-4841.