Wayward Woman Membership Application Form

Wayward Woman Giving Fund Membership Application

Fill out the form below to become a member of the Wayward Woman Giving Fund
Thank you for becoming a Member of our Giving Circle community.

Here’s a reminder of the important information:
- 99% of your membership donation goes directly to our grant recipients each year.
- You can vote on where the grants are awarded and see the difference your donation has made as the project comes to life.
- Membership levels are all the same. It just depends on your capacity to give. The more funds we raise, the greater impact we can have in our community!
- The Wayward Woman Giving Fund ensures that the funds you contribute go directly to organisations and projects that make significant and positive change to Women, Children, The Arts (Cultural Community Development) and the local Environemnt.
Name*

First NameLast Name
E-mail*
example@example.com
Mobile Number*
How did you hear about Wayward Woman Giving Fund?
Which membership level suits you best? Membership fees can be paid weekly, fortnightly, monthly or annually.*
prevnext( X )
Onyx$5 per month
$5.00AUD



Garnet$10 per month
$10.00AUD



Ruby$15 per month
$15.00AUD



Emerald$25 per month
$25.00AUD



Sapphire Membership$50 per month
$50.00AUD Quantity



Amethyst$75 per month
$75.00AUD Quantity



Diamond$100 per month
$100.00AUD Quantity
I agree to the Privacy Policy and Membership Terms & Conditions of WWGF
*

Yes
Tell us a little bit about yourself and your interest in being part of a giving community...
Should be Empty:

Wayward Woman Giving Fund Membership Application