Women of Impact Commitment Form

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Download and Print the Women of Impact Membership Commitment Form

OR submit online here:

2019 Women of Impact Membership Commitment Form

I am a
*
First
*
Last
Corporation Name (if joining as Corporate Member)
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 Corporate Member
- A General Member
- A Shared Member
- An Associate Member, 18-30 year old
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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We are

BOONE COUNTY.

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

WE HAVE LAUNCHED OUR COMMUNITY-WIDE NEEDS ASSESSMENT! CLICK HERE FOR MORE DETAILS AND TO ACCESS THE SURVEY.

THE BOONE COUNTY WALKING MAN SCULPTURES ARE COMPLETE! click here for details & to find locations.

check out what we have been up to second quarter of 2019! CLICK HERE TO VIEW THE IMPACT REPORT.

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

Invest in your community. Give to Boone County today!