Team Membership Agreement Form
By completing the form below, I acknowledge that I understand that in joining "100 Women Who Care - Eugene Springfield" we are making a commitment to contribute:

— $400 per year ($100.00 per meeting) to worthy causes, charities, and non profits serving Lane County, and

— a one-time membership fee of $100 to the charity of our choice.

We agree to honor our commitment even if we did not vote for the charity chosen by majority vote.

We agree to honor our commitment even if we were not able to attend the meeting.
I have read and agree to contribute as stated above. *
Enter your initials.
Your answer
Each team member must submit her own form.
Team Leader *
Who is your team leader?
Your answer
Other Team Members *
List all other team member names.
Your answer
Team Name
Your answer
Member Information
Enter your contact information below. We will never share your information with outside organizations.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone *
Please enter in phone number format: 555-555-5555.
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Your answer
One-Time Membership Contribution Designee
Part of joining WWC includes making a $100 donation to the charity of your choice. You write the check, tell us where it goes and we send it to the organization along with a letter introducing 100WWC-ES to raise community awareness.
Organization *
What is the name of the organization to which your team will be writing your check? Example: Food for Lane County
Your answer
Funding Target
Is there a specific program within the organization that your team would like to support? Example: Food for Lane County Youth Farm
Your answer
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I heard about 100WWC-ES via:
Volunteer Opportunities
We love volunteers. Let us know if you are interested in volunteering and a member will contact you with more information.
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Questions or Comments?
Your answer
Write your check to your charity of choice.
Please place all team members' checks in a single, stamped envelope addressed to the non-profit of your choice.

We will add an official letter from 100WWC-Eugene/Springfield to the envelope and mail it.

Mail your envelope to 100+ Women Who Care of Eugene/Springfield for distribution OR bring it to the next meeting.
Bring your checkbook to your first meeting!
Your team will be voting for one of three proposed recipients at the first meeting. Be prepared to write a check for $100 to the selected organization.
Thank you for joining us.
You will receive a confirmation email shortly. If you do not, please contact us at
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