Request edit access
Online Commitment Form
We always welcome new 100 Women Who Care Tri-Cities BC members.

If you…

  • Want to be part of a powerful group of local women making an immediate, direct and positive effect on the lives of our neighbours;

  • Want 100% of your donations to go directly to local charities (tax receipts will be provided);

  • Are interested in learning more about worthy community service programs and organizations servicing the Tri-Cities area;

We invite to join us at our next quarterly meeting of the 100 Women Who Care Tri-Cities BC chapter.

Ready to join us? Complete our online Commitment Form here or join us at the next quarterly meeting.

Ready to nominate a local charity? Complete our online Nomination Form here.

Unable to attend a meeting? Ask a fellow member to bring your cheque to the meeting.

Sign in to Google to save your progress. Learn more
First Name
Last Name
Email 
Address
City
Province
Postal Code
Phone Number
By the way, how did you hear about us?
I understand my personal contact information is strictly confidential and will not be shared or distributed to an outside third party without my expressed consent. If 100 Women Tri-Cities BC chooses to publish a membership directly, I agree that my contact information can be included in that directly.
Clear selection
I agree that the information I have provided is accurate and true. I am pledging to participate in 100 Women Tri-Cities BC, and I am making a personal commitment to contribute $400 each calendar year ($100 quarterly) to local non-profit organizations serving the Port Moody/Coquitlam/Port Coquitlam region. I agree to donate each quarter to the non-profit organization selected by the group’s majority vote. If I am unable to attend a quarterly meeting, I will either send my cheque with another attending member to deliver on my behalf, mail it as requested after the meeting, or pay online, if that option is presented. I also acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for 100 Women Tri-Cities BC.
Clear selection
Yes, I would like to sign up to receive updates and special event news via email.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report