Call to register: 800-418-9924
About Us | Contact Us

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 * 
(confirm)  
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
Sign up for Free Information!
  • Follow Us:
  • T
  • P
  • F