100+ Ely Women Who Care Commitment Form
Please review our How it Works page at https://100elywomenwhocare.org/howitworks/ for details of the meeting process.

Commitment: I pledge to participate in 100+ Ely Women Who Care, and I am making a personal commitment (or a Team commitment) to contribute $100 to the charity selected by the group’s majority vote. I understand that only meeting attendees can vote. If I am unable to attend a meeting, I will either send my blank, signed check with another attending Member to deliver on my behalf or mail it as requested after the meeting.

Team Commitment: In addition to the above, we understand that as a team we only get ONE nomination and ONE vote. The Team Captain is responsible for ensuring team members donate as pledged.

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.

Email address *
Sign up as an Individual Member or as a Team Member.
If part of a Team, include Team Captain's name below. Please note - all team members need to register. Thank you!
I am joining as: *
If joining as a Team Member, specify your Team Captain's name here:
Your answer
If joining as a Team Member, how many members are on your team? Note- all team members need to register.
I plan to attend the October 28 meeting (4 PM at the Ely Senior Center). *
Your information:
First Name *
Your answer
Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone number *
Your answer
Email address *
Your answer
By submitting this form I am making a personal commitment (or a Team commitment) to contribute $100 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 either send my blank, signed check with another attending Member to deliver on my behalf or mail it as requested after the meeting. Team Commitment: In addition to the above, we understand that as a team we only get ONE nomination and ONE vote. The Team Captain is responsible for ensuring team members donate as pledged. 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.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of 100 Ely Women Who Care. Report Abuse - Terms of Service