Impact100 DC · 2025 Shared Membership - pay by CREDIT CARD OR ACH

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 directory is for the exclusive use of our members and is not to be used for commercial or solicitation purposes. It is housed in a password-protected area of our website under Membership.

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.

Amount *

$535 - Join as a Shared Member

Name of the other person in your Shared Membership *

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I WOULD LIKE TO VOLUNTEER!

I am interested in being involved with:

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Technology (website, database management)

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Grant Review Committees

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WAIVERS *

Media Release: I hereby grant Impact100 DC, and its respective agents and assigns, the unrestricted right to use images of me from Impact100 DC events (both live and virtual) for trade, marketing, and other purposes without restriction and without my inspection or approval. I hereby release Impact100 DC and its respective agents from any legal claims or financial liability associated with such use. Do you agree to this waiver?

Yes

No