Individual Membership Agreement Form
By completing the form below, I acknowledge that I understand that in joining "100 Women Who Care - Eugene Springfield" I am 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 my choice.

I agree to honor my commitment even if I did not vote for the charity chosen by majority vote.

I agree to honor my commitment even if I was not able to attend the meeting.
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I have read and agree to contribute as stated above. *
Enter your initials.
Member Information
Enter your contact information below. We will never share your information with outside organizations.
First Name *
Last Name *
Email Address *
Phone *
Please enter in phone number format: 555-555-5555.
Street Address *
City *
State *
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 and address of the organization to which you will be writing your check? Example: Food for Lane County
Organization Street Address
Organization City, State, Zip
Specific Program/Project
Is there a specific program within the organization that you would like to support? Example: Food for Lane County Youth Farm
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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?
Write your check to the non-profit of your choice.
Please place your check in a business sized 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.
Bring your checkbook to your first meeting!
You 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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