Sponsorship Form
Please reply by December 1, 2000

Sponsorship Form
Conference and Training Workshops
Unlocking Human Potential To Learn
August 19-25, 2001



NAME OF ORGANIZATION:
CONTACT NAME:TITLE: 
ADDRESS:

DEPARTMENT:PHONE: 
FAX:EMAIL: 

Enclosed is our organization's contribution of the UNEVOC-Canada International Conference and workshops for Unlocking Human Potential To Learn. Contributions wil provide support towards the organizational costs of the conference and workshops.

ON BEHALF OF MY ORGANIZATION I WISH TO CONTRIBUTE:
$200 $500 $1000 Other $

Method of Payment
Invoice my organization
Visa Mastercard         Card #: Expiry Date: 
Name on Credit Card: 

List my name as sponsor: 


Thank you for your kind support

An official receipt will be mailed to you with our Charitable Donation #: 11926-0699-RR0001
For further information please contact: UNEVOC-Canada, Phone: (204)474-7033

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