Registration Form

Thank Tank Virtual Event

When: Wednesday, May 3, 2023

10:00 am to 4:00 pm Pacific Time, hosted on Zoom

We are inviting one member of your organization to participate in the discussion about how employers recruit and retain people with disabilities. In reciprocity, we are offering a honoraria ($500) in thanks for your participation, or a donation to a Canadian charitable organization of your choosing.

Please complete the following application form, and a member of the New Inclusive Economy team will be in touch with you.

Thank Tank Registration

Apply to register for the Thank Tank virtual event on May 3, 2023

1. Who will you be sending on behalf of your organization?

Your Organization

The person attending on behalf of this organization

First Last

Phone

2. Do you require any technical support for this individual?

Check all that apply:

ASL Translation

Assistance with using a computer

Assistance with using Zoom

Other Support

Other Support:

3. To what address do we mail a cheque for participation?

Cheque addressed to (Name/organization):

Mailing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Anything else?