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CHARITY NOMINATION FORMS

Any member or team who has registered online can nominate a charity below for consideration at our next meeting.

If you are making a commitment as part of a team, please submit one nomination per meeting and only keep in mind that only one member per team can present to the group if your charity is selected.

* Indicates required field

Your name *

First

Last

[object Object]

Your team name (if applicable) *

Your email address *

Name of your contact at the charity *

First

Last

Phone number of your contact *

Email address of your contact *

Who will be giving the 5 Minute Presentation if selected at a meeting? *

Member of 100 Women (Presentation Prepared by Member) Leading Lady (Presentation Prepared by Charity)

Has the charity been informed that a Leading Lady from 100 Women Who Care Lennox & Addington County may be contacting them for more information and/or to notify them of successful selection? *

YES NO

Is the organization a registered not-for-profit charity able to provide tax receipts? *

YES NO

Charitable Registration #: *

If selected, who should we make cheques payable to? *

If your charity is not not selected, would you like to resubmit it for nomination at our next meeting? *

YES NO

Name of the charity that you are nominating *

What year was the charity established? *

Charity's Mission Statement *

The charity serves the following population(s): *

What would donated funds be used for? *

Does the organization agree not to sell, give, or use the 100 Women Who Care Lennox & Addington County contacts for solicitations? *

YES NO

Does the organization agree that none of our donation will be used for administration costs? *

YES NO

Submit

Our Next meeting is on wednesday, february 22nd 2023
at Lafarge Banquet Hall @ Strathcona Paper Centre, Napanee
Meeting: 7:30-8:30pm

CONTACT US

* Indicates required field

Name *

First

Last

Email *

Comment *

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Home
Leading Ladies
Become a Member
Nominate a Charity
- Recipients
Meeting Information
- Next Meeting
Recognition
- Thank You
- Photo Gallery