100+ WOMEN WHO CARE QUINTE
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Membership Commitment Form for Teams of 2-4
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Indicates required field
Team Name
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Do all team members give permission to have the name of your team posted on the 100+ Women Who Care Quinte website, Facebook Page, Twitter profile, etc.?
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YES
NO
Check the box(es) below to agree to the following statement(s):
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We understand that we are making a commitment to 100+ Women Who Care Quinte to make a quarterly donation of $100, four times per year, which will be given directly to local charities, non-profits and organizations serving the Quinte area.
We agree to fulfill our donation commitment even if we did not vote for the charity selected by majority vote.
If no one from our team is able to attend a quarterly meeting, we will do one of the following: send an eTransfer, provide our cheque to another member to deliver in our place; or deliver our donation in person to 100+ Women Who Care Quinte c/o Kimberly's DeJa Vu Boutique, in the Sommerville Centre, 6835 Hwy 62 N, Belleville.
We give permission to 100+ Women Who Care Quinte to use photos that we are in for web content, advertising, etc.
Team Member #1
Name
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First
Last
Phone Number
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Email
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Mailing address (for charitable donation receipts)
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Line 1
Line 2
City
State
Zip Code
Country
Do you grant permission to the Leadership Committee to contact you about 100+ Women Who Care Quinte via email?
*
YES
NO
Team Member #2
Name
*
First
Last
Phone Number
*
Email
*
Do you grant permission to the Leadership Committee to contact you about 100+ Women Who Care Quinte via email? *
*
YES
NO
Mailing address (for charitable donation receipts)
*
Line 1
Line 2
City
State
Zip Code
Country
Team Member #3 (if applicable)
Name
*
First
Last
Phone Number
*
Email
*
Do you grant permission to the Leadership Committee to contact you about 100+ Women Who Care Quinte via email?
*
YES
NO
Mailing address (for charitable donation receipts)
*
Line 1
Line 2
City
State
Zip Code
Country
Team Member #4 (if applicable)
Name
*
First
Last
Phone Number
*
Email
*
Do you grant permission to the Leadership Committee to contact you about 100+ Women Who Care Quinte via email?
*
YES
NO
Mailing address (for charitable donation receipts)
*
Line 1
Line 2
City
State
Zip Code
Country
Submit
Home
Become a Member
Register as an Individual
Register as a Team of 2-4
Nominate a Charity
Past Charities
Attend a Meeting
Photo Gallery
Our 100+
Our Leadership Committee
With Our Thanks
FAQ
Contact us