Become a Member or Renew

Member Information

First name*

Last name*

Membership RenewalNew Membership

Email*

Home address*

Home phone

Cell phone

Membership Pledge Amount

$200 Recommended Donation, $100 minimum to become voting member
Pledge:

Payment Method (Payment method links below):
Credit CardCheck

Gift Membership

Donor name:
Donor email:

Company Matching

Will your company contribute a matching donation?
YesNo

If yes, please use your receipt as proof of your contribution, and contact your HR department for instructions.

Member Involvement

As a voting member you may choose to play an active role in the grant proposal process by serving on a Grant Committee, or you may choose to only participate in the voting process at Annual Membership and Grant Vote Dinner held on the first Friday in March.
At this time, I choose the following:
Event PlanningWebsiteCommunicationsMembershipOther

Grant Committee (Must be requested by June 1st of the committee year)
FamilyEducationHealth & Wellness

Have skills and willing to help with: (Select all that apply)
PR/MarketingWebsiteDatabaseOther

Please tell us who referred you:

Release of Liability

By your clicking this checkbox you waive your legal rights to claim, sue or attempt to hold liable the parties being released in connection with any activity by the 100 Women Charitable Foundation, Inc. The parties being released are: The 100 Women Charitable Foundation organization, including all its directors, officers, agents, attorneys, and non-officer volunteers; additionally, the volunteers are being released from any liability. I understand that the 100 Women Charitable Foundation, Inc. is a non-profit charitable activity, under Internal Revenue Code 501 (c)3, and that the directors, officers, and volunteers are unpaid and not employees.

Δ