Membership Form - 100+ Women Who Care Southern Maine

Members

Member Data

Submitting this form is making a commitment to 100+ Women Who Care – Southern Maine to make an annual donation of $200 ($50 for every quarterly meeting), even if you cannot attend a meeting.

First Name *

Last Name *

Email Address *

Fill in at least one of the phone numbers.

Phone Home

Phone Work

Phone Cell

Address *

Address

City

State/Province

Zip/Postal

I agree to have my contact information included in the 100+ WWC Membership Directory *

Yes

I understand that *

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

Terms and Conditions *

I agree to the above Terms and Conditions

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