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.
Enter your contact information below. We will never share your information with outside organizations.
Please enter in phone number format: 555-555-5555.
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.
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
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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I heard about 100WWC-ES via:
Media (newspaper, tv, radio)
We love volunteers. Let us know if you are interested in volunteering and a member will contact you with more information.
Recruit new members
Social media contributor
Online materials proofreader
Photo Opt Out
I do not want my photo taken during 100WWC-ES events.
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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