P.O.W.E.R Advisory Board Corporate Inquiry Please complete the following: 1. Your Name: 2. Your Title: 3. Company: 4. Company Address: 5. Email: 6. Are you looking to host your own internal P.O.W.E.R Advisory Board (PAB) for your company or organization? a) If so, how many PABs? (max 6 women/Board) 123456 7. Are you looking to reserve seat(s) on external P.O.W.E.R Advisory Board populated by women from other companies and organizations? b) If so, how many seats? 12345678910 We look forward to following up with you shortly.