Online Membership Form

If you wish to be a FULL MEMBER, please SELECT THE LEVEL OF FULL MEMBERSHIP DONATION YOU WISH TO MAKE. Please consider joining our members who give an additional amount to help cover our operating costs, or at least adding $50 to help pay the credit card fees. (NOTE: If you wish to make a partial payment of your membership donation, please skip to Partial Payment.)

We allow a partial payment of your Membership of at least $250 with the remainder to be paid before December 31. Please enter the amount of your partial payment here, and use the Notes field to tell us when you will pay the remaining amount. You may break the remainder into one or two payments, and ask to be invoiced on October 1 and/or December 1. Remember, the full amount of your Membership must be paid by December 31. You will not receive a tax acknowledgement until the full amount is received.

If you wish to be a part of a SHARED MEMBERSHIP, please select the LEVEL OF SHARED MEMBERSHIP DONATION you wish to make below, then consider joining our members who give an additional amount to help cover our operating costs in the next section. We suggest you at least give an additional 10% to help cover credit card administration and fees. If you know the names of one or more of the women with which you wish to share your membership, please enter their name(s) in the Notes field. Otherwise, we will group you with other women who have requested a Shared Membership.

Our Members often contribute extra to help pay operating costs and/or credit card fees. If you would like to help with these costs, please enter the amount you would like to donate in the field below.

Some of our members make additional donations to our Scholarship Fund. These donations increase the Grant Pool AND pay the membership fees for a woman studying philanthropy or involved in an area nonprofit who would not be able to participate in Impact 100 without these scholarship funds. Enter the amount you would like to donate in the field below.