100WC-FC Commitment Form
Commitment: With my signature below, I am pledging to participate in 100 Who Care - Franklin County, and am making a personal commitment to contribute $100 each calendar year ($33 three times per year, plus $1 per year to 100 Who Care - Franklin County towards admin costs) to local nonprofit organizations serving the Franklin County region.

I agree to donate three times per year 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 or mail it as requested after the meeting. 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 Who Care - Franklin County.

I understand my personal contact information is strictly confidential and will not be shared or distributed to an outside third party without my expressed consent. If 100 Who Care - Franklin County chooses to publish a Membership Directory, I agree that my contact information be included in that directory.

Email address *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service