Member Sponsor Form
The deadline for making a charitable donation to sponsor an Impact100 Sonoma member for 2019 is January 4. Those joining after that date may participate in all Impact100 events through 2019 and then vote in 2020 as a benefit of their full membership in 2020.
Type of Sponsorship
Individual Sponsorship - give a gift of membership to a female family member or friend
Employee Sponsorship - enable an employee to become a member of Impact100 Sonoma
NextGen Program Contribution - your gift will help to sponsor a young member of our community to join Impact100 Sonoma and learn about women's collective giving
Sponsorship Options (check all that apply)
Fully support your friend or employee with a donation of $1,000 for a 1-year membership
Allow your friend or employee to contribute what she can toward her $1,000 membership and supplement her commitment, allowing her a full membership in Impact100 Sonoma
Contribute toward our NextGen Program (contributions are welcome in any amount)
Additional contribution to support Impact100 Sonoma's operating expenses
Total contribution
Payment Options
I am paying by credit card (3% processing fee applies). Please visit impact100sonoma.org to process your payment.
I am paying by check. Make check payable to Impact100 Sonoma and mail to Impact100 Sonoma, PO Box 1958, Sonoma, CA 95476
Sponsored Member's Name
First Name
Last Name
Sponsored Member's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsored Member's Email
example@example.com
Sponsored Member's Cell Phone Number
-
Area Code
Phone Number
Sponsored Member's Age Range
21-24
25-34
35-39
Sponsor's Name
First Name
Last Name
Sponsor's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsor's Email
example@example.com
Sponsor's Phone Number
-
Area Code
Phone Number
Signature
Date
-
Month
-
Day
Year
Date
I wish to receive a Letter of Acknowledgement for my tax records (Tax ID# 27-0845497)
I give my permission for my business and/or myself to be acknowledged for my sponsorship donation on the Impact100 Sonoma website and in the organization's print and online publications.
Submit
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