Home
Leading Ladies
Become a Member
100 Women Who Care Lennox & Addington County
How It Works
Individual Registration
Team Registration
Nominate a Charity
Recipients
Meeting Information
Next Meeting
Recognition
Thank You
Photo Gallery
REGISTER HERE AS A TEAM
Please submit only
one
Registration Form per team
*
Indicates required field
TEAM NAME
*
Do all team members give permission to have the name of your team posted on the 100 Women Who Care Lennox & Addington website and across our social media platforms?
*
YES
NO
Team Member #1
*
Team Member #2
*
Team Member #3 (if applicable)
*
Team Member #4 (if applicable)
*
NOTE: We ask that one member donate on behalf of a team in order to ease the administrative burden. The person that writes the cheque or donates cash will be issued the tax receipt.
Please check each box below to agree to the following statements:
*
We understand that we are making a commitment to 100 Women Who Care Lennox & Addington County for a minimum of one year (four meetings) and until we complete an Opt Out Form.
We agree to fulfill our donation commitment even if we did not vote for the charity selected by majority vote.
If no one from our team is able to attend a quarterly meeting, we will provide our cheque to another member to deliver in our place or courier or deliver our donation in person to 100 Women Lennox & Addington c/o Napanee Opticians, 118 John Street, Napanee, ON, K7R 1R2.
We give permission to Jen Fitzpatrick of Serendipity Studios and 100 Women Who Care Lennox & Addington County to use photos that we are in for web content, advertising, etc. We understand that our team name will only be used in conjunction with our photo if our submitted charity is drawn and/or is successfully selected.
Team Member #1
Name
*
First
Last
Phone Number
*
Email
*
Do you give permission to The Leading Ladies to contact you about 100 Women Who Care Lennox & Addington County via email?
*
YES
NO
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Team Member #2
Name
*
First
Last
Phone Number
*
Email
*
Do you give permission to The Leading Ladies to contact you about 100 Women Who Care Lennox & Addington County via email?
*
YES
NO
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Team Member #3 (if applicable)
Name
*
First
Last
Phone Number
*
Email
*
Do you give permission to The Leading Ladies to contact you about 100 Women Who Care Lennox & Addington County via email?
*
YES
NO
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Team Member #4 (if applicable)
Name
*
First
Last
Phone Number
*
Email
*
Do you give permission to The Leading Ladies to contact you about 100 Women Who Care Lennox & Addington County via email?
*
YES
NO
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Submit
Home
Leading Ladies
Become a Member
100 Women Who Care Lennox & Addington County
How It Works
Individual Registration
Team Registration
Nominate a Charity
Recipients
Meeting Information
Next Meeting
Recognition
Thank You
Photo Gallery