Membership form

This information is needed for planning purposes for the meetings and for receipts

from the organizations that will receive the donations.Completed membership forms

may be submitted one of the following ways.

Forms may be filled out and submitted online (below), OR download the PDF version scan and email to:

Membership Form (pdf)

Signing up as a individual or team?

Name/Team Name

Phone

Date

May we include your name on 100 WWCC social media?

I understand that I am committed to 100 WWCC to make a quarterly donation of $100, which will be given directly to local charities.

I agree to fulfill my donation commitment even if I did not vote for the charity selected by the majority vote.

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