Commitment form  - 100 Women Who care Brampton
Commitment form to become a member of 100 Women Who Care Brampton.
Email *
Full Name *
Mailing Address *
Phone number *
I am agreeing that the information I provide is accurate and true. I am pledging to participate in 100 Women Who Care Brampton and I am making a personal commitment to contribute $300 each calendar year ($100 each giving circle) to local nonprofit organizations serving the 100 Women Who Care Brampton region. I agree to donate at each giving circle to the nonprofit organization selected by the group’s majority vote. If I am unable to attend a meeting, I will either send my check 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 Who Care Brampton.

*
I understand my personal contact information is strictly confidential and I understand it will not be shared or distributed to an outside third party without my expressed consent. If 100 Women Who Care Brampton chooses to publish a Membership Directory, I agree that my contact information be included in that directory.
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report