Sponsor Form

Sponsor Application

		WOMEN IN ELECTRONICS, INC.
		ATLANTA CHAPTER
		P.O. Box 956213
		Duluth, GA 30095
		Telephone: (404) 281-8766
		Email: LAURA TRUONG or SUSAN WILLIAMS

Date:

Company Name:

Address:

City, State, Zip:

Phone:

Fax:

Name of Contact:

Title:

Email:

ANNUAL SPONSORSHIP: Please check one.

Bronze ($125)

Silver ($275)

Gold ($500)

Please mail this form to:

Women In Electronics, P.O. Box 956213, Duluth, GA 30095

Your generous support of WIE is greatly appreciated.