100+ Women Who Care from the 618 Membership Commitment Form
By completing the form below, I acknowledge and understand that in joining 100+ Women Who Care from the 618 I am making a commitment to:
Sign in to Google to save your progress. Learn more
Email *
I agree to contribute $100 every quarter ($400 per year) *
I agree to honor my commitment even if I did not vote for the organization chosen by majority vote. *
I understand that a "member in good standing" is fulfilling her commitment of donating $100 per quarter to the majority voted charity and is current and timely with donations. *
I understand to be eligible to nominate a non-profit I must be a member in good standing and be randomly selected at an Impact Award Meeting. *
I understand to vote for a non-profit I must be a member in good standing and attend an Impact Award Meeting. *
I understand that if I am unable to attend an Impact Award Meeting I will send my check with another attending member to deliver on my behalf, mail the check to 100+ Women Who Care from the 618 after the meeting, and my donation is due by the 5th business day following the Impact Award announcement. *
I acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for 100+ Women Who Care from the 618. *
I understand my personal contact information is strictly confidential and that it will not be shared or distributed to an outside third party without my expressed consent. *
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Cell number with area code (we will text you) *
Business Name (optional)
Occupation (optional)
Signature (full name) *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy