100 Women Who Care-Michiana Registration & Commitment Form

Commitment: With my [digital] signature below, I am agreeing that the information I provide below is accurate and true.  I am pledging to participate in 100 Women Who Care-Michiana, and I am making a personal commitment to contribute $400 each calendar year ($100 quarterly) to local nonprofit organizations serving the 100 Women Who Care-Michiana region.  I agree to designate my $100 quarterly donation for the nonprofit organization selected by the group’s majority vote conducted at each quarterly meeting.  If I am unable to attend a quarterly meeting, I will either:

  • send my donation check with another attending member to contribute on my behalf;
  • mail it to one of the meeting organizers; or
  • make my contribution online.

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 Women Who Care-Michiana.








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