• WIN 15 HOME • • FAQ • • REGISTRATION • • SPONSOR • • ORG SPONSOR• • JOIN WIN•  

WIN 15 Anniversary Celebration, 6:00 – 9:30 PM, September 25, 2010
Reserve by Monday, September 20,  2010 for a $20.00 Discount

Download this form

To Reserve for the Afternoon CAWA CALL TO ACTION - Noon to 4:30 PM
Please go to the Organization Sponsor Page and register separately there. It's less confusing!

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.

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