Inspired Fundraising Interest Form
Please fill out this form describing your connection to Wine To Water and what you want to do with Wine To Water. Thank you!
Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Past Experience with Wine To Water
How did you hear about Wine To Water?
Please Select
Friends/Family
Filter Build
University Club/Chapter
Event/Info Table
Other
If other, please explain
Have you volunteered with Wine To Water in the field?
Please Select
Yes
No
If yes, what location and what year?
Community Connections
In what areas are you connected in your community?
Rotary/Civic Group
University
Faith Based Groups
Restaurant/Bar Industry
Fitness Clubs
Other
Please describe your involvement in these areas:
What is your occupation and describe any corporate connections you have:
Your Engagement with Wine To Water
What skills or talents do you have that could benefit the Wine To Water community?
i.e. Public Speaking, Event Host, Talented Networker, etc.
What is your one next step with Wine To Water?
i.e., Create a Fundraiser, Host a Filter Build, Serve in the Field
How do you see yourself engaging with Wine To Water long term?
i.e., I'm interested in volunteering overseas, I'm interested in supporting W|W financially each month.
Submit
Should be Empty: