Women Giving: Payments for Membership, Donations, Sponsorships

Name*

First NameLast Name

Email*

Phone Number*

Area CodePhone Number

What are you paying for today? (Note: donations to the Founders Fund may be made in the "other" box; please note that purpose in the comment below.)*

Regular Membership (any age) : Full Payment of $1237.20 OR half payment of $619.60 with balance due by Dec. 31Junior Member (optional for under age 35) $618.60Senior Society Member (optional for age 75+) $618.60

Other WGFS Support/Events

Fund the Future Membership : Full Payment of $1237.20 OR half payment of $618.60 with balance due by Dec. 31Fund the Future Junior Membership: $618.60Other

If you indicated an "other amount" to cover a specific campaign donation or event sponsorship, please note what that amount is for in this box (ex: $100 for SHEROES, $50 for the Jan Scalisi Scholarship Fund). Please add 3% to cover online processing fees:

Your Total for today

Payment Total*

USD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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