WISE Ottawa Sponsorship Form

New Sponsor     Renewal     Change of Information


Name of Organization:
Address:
Contact Person:
Telephone:
Fax Number:
E-Mail Address: Home Business


Names of representatives from your organization:
1. Telephone:
2. Telephone:
3. Telephone:
4. Telephone:
5. Telephone:


Type of Sponsorship
Gold(1000$)     Silver(500$-1000$)     Bronze(250$-500$)

Please send your cheque payable to Ottawa-Carleton WISE Chapter to:
Ottawa-Carleton WISE Chapter
Box 35037 Westgate P.O.
1309 Carling Ave.
Ottawa, ON, K1Z 7L3

This form is confidential and for internal WISE use only