Charity Nomination Form

Charity Nomination Form
Date*

MonthDayYear
Date
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
How did you hear about us?*
As an individual, I understand that I am making a commitment to 100 Women Who Care Toronto West to make an annual donation of $300 ($100 at each meeting), which will be given directly to local charities serving Toronto West.
OR
As a team, we understand that we are making a commitment to 100 Women Who Care Toronto West to make an annual donation of $300 ($100 at each meeting), which will be given directly to local charities serving Toronto West. We understand that only $100 payments are turned in. Therefore, it is up to us as a team to figure out the rotation of who is actually making the $100 donation to that quarter's charity.

I agree to fulfill my donation commitment even if I did not vote for the charity selected by majority vote.

If I am unable to attend a meeting, I will contact the Leadership Team to arrange for issuance of my donation.

Please be advised that we take photographs at the event for our website and social media. Inform the leadership Team if you do not wish your image to be included.
Should be Empty: