Membership/ Commitment Form

Membership/ Commitment Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Terms and Conditions

I understand that I am making a commitment to 100 Women Who Care – Southeastern CT to make an annual donation of $200 – ($50 for every quarterly meeting) – given directly to local charities/non-profits serving the SE CT area.

I understand that even if I did not vote for the charity chosen by majority vote, I will fulfill my donation commitment.

I understand that even if I am not able to attend a quarterly meeting, I will mail in a check or provide my check to another member to deliver.

By submitting this form I am agreeing to the terms and conditions above.
Submitting this form is making a commitment to 100+ Women Who Care – Southeastern CT to make an annual donation of $200 ($50 for every quarterly meeting), even if you cannot attend a meeting.
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