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2020 SHARED MEMBERSHIP FORM BY e-CHECK

To join, please complete the form below allowing you to pay by e-CHECK.

SHARED MEMBERSHIP
  • Two women may form a Shared Membership.
  • Each Shared Membership is entitled to one vote in all voting procedures, including Focus Area Committee votes and the Final Grant Award vote at the annual meeting.
  • The contribution for a Shared Membership includes a $70 administrative/operational fee ($35 per person).
  • Each member should complete her own form and will receive a tax acknowledgement letter for her records.
  • The Shared Membership is official once both forms have been completed and the total $1,000 + $70 administrative fee has been paid.
CONTACT INFORMATION
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This will allow you to receive our monthly newsletter and other important Impact100 DC updates.

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SHARED MEMBERSHIP
Your $500 membership contribution goes in total to funding the grant. Shared memberships require an additional contribution of $70 ($35 per person) to help support operating costs.
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I WOULD LIKE TO VOLUNTEER!

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