Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Commitment * I understand that I am making a commitment to Waupaca Women Who Care to make an annual donation of $400 – ($100 at each quarterly meeting) – given directly to local charities and non-profits serving the Waupaca area. I understand that even if I did not vote for the charity chosen by the majority vote, I will fulfill my donation commitment. I also understand that if I am not able to attend the quarterly meeting that I will provide my check to another member to deliver or mail within three days of the meeting. My commitment will automatically renew, for successive one-year periods, unless notice is given. Yes No Did a Member Refer You? Enter the member's name, if applicable. E-signature * By entering your name below you certify the information provided above is accurate. Date Enter Today's Date MM DD YYYY Are you registering a team? If so, please list your teammates names below. Thank you for joining Waupaca Women Who Care! Make an Impact!Together we can make a REAL difference in our community! Join the movement today!
