Night of Distinction (Supplier Registration)

Diverse Suppliers Registration

We’re curating an intimate evening focused on quality networking and cross-sector connections. To ensure space for maximum diversity in the room, we ask that organizations send no more than 2 representatives. Sponsors will receive additional reserved tickets.

Contact information:

Full Name *

First

Last

Pronoun(s)

She/Her
She/They
He/Him
He/They
They/Them
He/She/They
Other (please specify)

Other: *

Email *

Phone

Are you or your business one of the following? *

CGLCC Certified Supplier
2SLGBTQI+ entrepreneur, but not a CGLCC member
Representative from an ecosystem or affiliate organization
CGLCC Corporate Partner
Government / Municipality representative
Academic Institution

Please fill out the Corporate, Government, Municipalities, Academic Institution Attendee registration form instead!

Company name *

Job title *

Company URL *

Demographic questions (optional)

Before we proceed with the demographic questions, we want to share why we are asking for this information. The Canada’s 2SLGBTQI+ Chamber of Commerce (CGLCC) is committed to fostering an inclusive and equitable environment for all entrepreneurs and community members. Collecting data on race, gender identity, and other demographic factors allows us to: – Understand the diverse makeup of our community and ensure that our programs and initiatives are accessible and relevant to everyone. – Identify and address any gaps or barriers that equity-deserving groups may face in accessing our services. – Measure our progress towards creating a more inclusive ecosystem and inform our strategies for continuous improvement. Please be assured that your responses will be kept confidential and used solely to enhance our programs and support diversity and inclusion within our community.

Please indicate the languages you speak or understand. (Please select all that apply) *

English
French
Other

Which of the following best describes your primary geographical location? (Please select one)

Rural Community
Remote Community
Northern Community
Urban/Suburban Community
None of the above

Rural: outside of urban and suburban communities but within reasonable driving distance of an urban centre. Remote: not within reasonable driving distance of an urban centre, limited access to services and infrastructure.

Could you tell us about your cultural or ethnic background? Please describe your background in the way you identify with it most.

Do you identify as a member of the 2SLGBTQI+ community? (Please select one)

Yes
No
Prefer not to say

Which 2SLGBTQI+ communities do you identify with? (Please select all that apply)

Lesbian
Gay
Bisexual
Transgender
Queer
Intersex
Asexual
Two Spirit
Non-binary
Other

Understanding gender identity will help us tailor our programs and support to meet everyone's needs. Please select the option(s) that best describe your gender identity. (Please select all that apply)

Woman
Man
Non-binary
Two Spirit
Transgender
Prefer not to say
Other

To better support equity-deserving groups, we are also interested in understanding if you identify as part of any of the following groups. (Please select all that apply)

Black Community
Other racialized communities
Indigenous Peoples (First Nations, Métis, Inuit)
Persons with disabilities
Newcomers
Refugees
Veterans
Prefer not to say
Other
Not applicable

Questions about the event

Are you interested in receiving more information about the supplier pitch showcase or supplier pop-up marketplace?

Yes, I would like to learn more
Not this time

Please select the top three industries you’d like to provide your goods or services to. *

Consulting & Education
Marketing & Advertising
Human Resources & Communications
Technology & Software
Design & Architecture
Retail & Consumer Goods
Food & Hospitality
Health & Wellness
Engineering & Construction

Our intention for the dinner is to create intentional seating charts for meaningful business networking. Your choices here will help us best match you with a potential table.

Attending with a partner or colleague? Let us know if there’s someone you’d like to be seated beside.

Dietary restrictions, if any

Vegetarian
Gluten-free
Dairy-free
Lactose intolerance
Allergies (please specify in others)
Halal
Kosher
Other (please specify)

Other: *

Accessibility needs, if any

Wheelchair Accessibility
Sign language interpretation
Other (please specify)

Other: *

How did you hear about this event? *

Search engine (Google, Yahoo, Bing, etc)
LinkedIn
Facebook
Instagram
Word of Mouth
CGLCC Newsletter
CGLCC staff
Other (please specify below)

Other *

Comments or Questions?

Image consent

By registering, you consent to the following: *

You may be filmed or photographed during the event. They might be used for promotional material, including advertisements on CGLCC social media and website. If you have any concerns, please notify a staff member upon arrival.

I agree to receive communications from CGLCC.

I agree to receive promotional communications from CGLCC. In order to provide you the content requested, we need to store and process your personal data.

You may unsubscribe from these communications at any time. For more information please review our Privacy Policy at https://cglcc.ca/privacy-policy/