Commitment Form

"Alone we can do so little; together we can do so much." - Helen Keller

Thank you so much for your interest in 100+ Women Who Care of Madison County. If you would like to join this exciting adventure, fill out the form below and click submit to send your form to Vicki and Marshanne.

Please complete the form below

Name

First Name

Last Name

Address

City, State and Zip

Email Address

Home Telephone

(###)

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Work Phone

(###)

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Cell Phone

(###)

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I agree to have my contact information included in the 100+ WWC Membership Directory:

Contribution Commitment Consent

I understand that in joining "100+ Women Who Care of Madison County" I am making a commitment to contribute an annual donation of $400.00 per year ($100.00 at each quarterly meeting), given directly to local charities, non-profits and other worthy causes serving the Madison County area. I understand that even if I did not vote for the charity chosen by the majority vote, I will fulfill my donation commitment. I also understand that if I am not able to attend a quarterly meeting that I will give my check (which will also serve as my proxy vote) to another member to deliver on my behalf or mail in advance of the meeting. I also understand that my commitment will automatically renew, for successive one-year periods, unless notice is given.

Date

YYYY

When clicking the "SUBMIT" button above your form completed form will be sent via email to 100womenwhocaremadisoncounty@gmail.com. You can also print this form and bring it with you directly to our next meeting. If you wish to discontinue your membership at any time, please send an email to the above address indicating your withdrawal.

The 100+ Women Who Care of Madison County thanks you for your support!