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By Request Sponsor Application

Thank you for your interest in Sponsoring a By Request Queen’s Code Workshop. Please complete the form below and Adrienne Dworak will contact you within one week to schedule an interview.

By Request Sponsor Application
* indicates required field
Name *   
Email Address * 
Phone *   
Best times to reach you *   
City Requesting for Workshop *   
Are you a PAX Graduate? *   
Why do you want to be a Sponsor? *   
What communities of women do you regularly interact with? *   
Please list at least 5 women you think would be on your Sponsor Team and tell us your relationship to them. *   
Your email will not be sold and will only be used to send you information from PAX
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