100+ Ely Women Who Care Participation Form
We're glad you're joining us in supporting Ely's nonprofits! Our April 2023 event will be held at the Ely Senior Center, April 30th at 4 PM.
 
Commitment: I pledge to participate in 100+ Ely Women Who Care, and I am making a personal commitment to contribute to the charity selected by the group’s majority vote. I understand that only meeting attendees can vote. If I am unable to attend I will mail my donation check as requested after the meeting.

Photo Release: I acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for 100+ Ely Women Who Care.

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Email *
I plan to attend the April 30 event. (This is for planning purposes and is not a commitment either way). *
I am joining as:
*
If you are part of a team:
Our Team Captain is (first and last name):
How many are on your team?
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Your information:
First Name *
Last Name *
Mailing Address *
City *
State *
Zip *
Phone number *
Email address *
By submitting this form I am making a personal commitment to contribute to the nonprofit selected by the group’s majority vote. I understand that only meeting attendees can vote. If I cannot attend I will mail my donation check as requested after the meeting. Photo Release: I acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for 100+ Ely Women Who Care. *
Required
Privacy is important to us. We will not share your information with anyone outside the recipient charity. The recipient charity will receive your name and mailing address so that they can send you a receipt for tax purposes and a thank you. 
A copy of your responses will be emailed to the address you provided.
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