Champions Retreat 2022 Interest Form
Thank you for your interest in supporting the 2022 Champions Retreat! This event will take place in Philadelphia during the week of November 28th-December 2nd. Please submit this form so we can know more about you, your interests, expertise, and your requests or offers. Questions? Email us at championsretreat@usca.bcorporation.net.
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First Name
Last Name
Email
Company/Organization
Is your company a Certified B Corporation?
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Role/Title
Where are you based?
I am (or my company is) interested in: (check all that apply)
Please give us more specifics about your area of expertise and/or how you would like to contribute to the Retreat:
If interested in speaking: please tell us what you would like to speak on. How will you integrate the pillars of the Theory of Change (Climate Justice, Racial Equity, Stakeholder-driven Economy)?
If you will require additional financial support to attend Champions Retreat, please tell us more information about yourself and your request.
If interested in sponsorship: how are you interested in sponsoring? (cash, in-kind, services, products, etc)
Anything else you'd like to tell us?
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