Commitment Form

Please use the form below to indicate your Commitment to 100 Women Who Care Burlington. If you are making a Commitment as part of a team, each person should provide their information by filling out the form below and use the Additional Notes section to communicate how the $100/$50 donations will be split between team members.

I understand that I am making a commitment to 100 Women Who Care Burlington to make an annual donation of $400 ($100 at each of four meetings) or $200 for those under 30 years old ($50 at each of four meetings) – given directly to a local charity or one of its valuable programs that serves the Burlington community. I agree to fulfill my donation commitment even if I did not vote for the charity selected by majority vote. I also agree that I will donate online or send my cheque to the charity if I am not able to attend a quarterly meeting.

Should you wish to discontinue membership at any time, please send an e-mail to indicating your withdrawal.