100+ Ely Women Who Care Participation Form
We're glad you're joining us in supporting Ely's nonprofits! Our October 2022 event will be held at the Ely Senior Center, October 30 at 4 PM.
 
Commitment: I pledge to participate in 100+ Ely Women Who Care, and I am making a personal commitment to contribute 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 mail my donation check as requested after the meeting.

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.

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Email *
I plan to attend the October 30 event. (This is for planning purposes and is not a commitment either way). *
I am joining as:
*
If you are part of a team:
Our Team Captain is (first and last name):
How many are on your team?
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Your information:
First Name *
Last Name *
Mailing Address *
City *
State *
Zip *
Phone number *
Email address *
By submitting this form I am making a personal commitment to contribute to the nonprofit selected by the group’s majority vote. I understand that only meeting attendees can vote. If I cannot attend I will mail my donation check as requested after the meeting. 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 with anyone outside the recipient charity.
A copy of your responses will be emailed to the address you provided.
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