Women of Impact Commitment Form

Download and Print the Women of Impact Membership Commitment Form

OR submit online here:

*Please pay either your full or partial membership fee before the first quarterly meeting on March 6th, 2019. Payments can be mailed in or paid online. Details at the bottom of this page. If no payment is made when you complete the membership commitment form, we will send you the credit card payment authorization form via email for your convenience.

2019 Women of Impact Membership Commitment Form

I am a
*
First
*
Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone*
Email*
Current Occupation (enter "none" if a community volunteer)*
I am joining as (choose one):*
- A General Member
- A Shared Member
- An Associate Member, 18-30 year old
- A Junior Member, HS Junior or Senior Student
Additionally,
- I am a General Member who would like to Sponsor a Member, listed below.
- I am a Shared Member and my Member Partner's name is listed below.
- I am an Associate Member and my sponsor's name is below.
Name
By signing below, I am committing to contributing in 2019 based on my membership level chosen above to join the Women of Impact Boone County. This includes a contribution for the Women's Fund endowment fund at the Community Foundation of Boone County plus the applicable number of quarterly contributions (dependent on join date) to the nonprofit organization chosen by the membership of the Women of Impact at each quarterly meeting. I agree to honor my commitment even if I am not present at a meeting, my charity was not chosen and/or I am not in favor of the organization chosen. If I am unable to attend a quarterly meeting, I understand that my credit card will be charged for that quarter's donation.
2019 meeting schedule:
- March 6 | GCI
- June 5 | GCI
- September 10 | Ulen
- November 20 | GCI
Online Signature*
To pay your membership online, CLICK HERE, select "All other CFBC funds and registration", and select "Women of Impact Membership" from the list of endowment component funds. Please be sure to PRORATE your membership amount accordingly if you are joining after the first quarter!
Alternately, you can download and print the form from the link at the top of this page and submit with payment to the address below OR bring with you to a quarterly meeting.

Any questions, contact Julie Reagan at jreagan@communityfoundationbc.org or 765-482-0024.

Community Foundation of Boone County
Women of Impact
102 N. Lebanon St. Suite 200
Lebanon, IN 46052
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BOONE COUNTY.

Connecting donors and nonprofits from Advance to Zionsville, we are writing the story of our community – TOGETHER.

LEBANON COMMUNITY OF SHALOM RECEIVES WOMEN OF IMPACT GRANT. click here to read more!

Membership and sponsorship opportunities are open for 2019. Click here for more information.

And we start with the greater need

Only have a high school diploma
(as high as 48% in some pockets)

Never graduate from high school

Live in poverty
(as high as 22% in some pockets for children under 18)

Odds of being in poverty if you're the child of a single parent