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Media Coverage of 100+ Women Who Care Kingston
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TEAM Membership commitment FORM
PLEASE SUBMIT ONLY ONE MEMBERSHIP COMMITMENT FORM PER TEAM
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Team Name:
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Is this a new team application or a team change (adding a member or removing a member from an already registered team)?
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New team application
Edit to an already registered team
Are you changing the name of a currently registered team? If so, what was the OLD team name?
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Do all team members give permission to have the name of your team posted on the 100+ Women Who Care Kingston website, Facebook page, Twitter profile, etc.?
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YES
NO
Check the boxes below to agree to the statement(s)
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We understand that we are making a commitment to 100+ Women Who Care Kingston to make a quarterly donation of $100, four times per year, which will be given directly to local charities, non-profits and organizations serving the Kingston area.
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 do one of the following: (1) provide our cheque to another member to deliver in our place; (2) courier or deliver our donation in person to 100+ Women Who Care Kingston c/o Life Yoga, 6-235 Gore Road, Kingston, ON, K7L 0C3 or c/o Align Orthotics and Rehab, 920 Princess Street, Kingston, ON, K7L 1H1 or c/o Investors Group, 100-2020 Gardiners Road, Kingston, ON, K7P 3C4; or (3) drop off our cheque 24-hours per day in the Collins Blay Chartered Accountants drop box located outside the Smith Robinson Building (27 Princess St.) on the northeast wall adjacent to the King/Queen parking lot.
We give permission to Photography by Tiff and 100+ Women Who Care Kingston to use photos that we are in for web content, advertising, etc. We understand that our names will only be used in conjunction with our photo if our submitted charity is drawn and/or is successfully selected.
Team Member #1
Name
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Email
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Do you give permission to The Leading Ladies to contact you about 100+ Women Who Care Kingston via email?
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Address
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TEAM MEMBER #2
Name
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Email
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Do you give permission to The Leading Ladies to contact you about 100+ Women Who Care Kingston via email?
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YES
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Address
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TEAM MEMBER #3 (if applicable)
Name
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First
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Email
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Do you give permission to The Leading Ladies to contact you about 100+ Women Who Care Kingston via email?
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YES
NO
Address
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TEAM MEMBER #4 (If applicable)
Name
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First
Last
Phone Number
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Email
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Do you give permission to The Leading Ladies to contact you about 100+ Women Who Care Kingston via email?
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YES
NO
Address
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