Women's Giving Circle Membership Application Become a Member of the Women's Giving Circle Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Membership Type:* I would like to become a member/ renew my membership with a gift of $250. I am age 18-40 and would like to become a Young Philanthropist Member with my gift of $125 I would like to become a Debbie Labs Legacy Member with my gift of $1,000 I would like to become a Sustaining Member with a gift of $500 in addition to my membership I am age 60 or older and would like to become a Lifetime Member with my gift of $5,000 (due in two payments over two years by December 31st of each year) I would like to make my supporting gift in honor of/ or in memory of:Please indicate your interest in becoming a member of any of the following teams that make up the Women's Giving Circle.The Education and Programs Team: This committee is responsible for program planning, creating educational opportunities, and proving speakers to help members learn about philanthropy and issues affecting women and children.The Grants Team: This committee manages the process of selecting grantee organizations each year, developing timelines, overseeing the grant proposal process, reviewing and evaluating grant proposals submitted to the fund.The Membership Outreach Team: This committee provides information to prospective members, increases membership, welcomes new members, and strives for creating a program that also retains membersThe Women's Giving Circle Advisory Board: This committee represents the main leadership of the Women's Giving Circle and is comprised of the WGC Chair, Co-Chair, Secretary, Treasurer and the Chairs and Co-Chairs of the three WGC Teams.Payment Method (choose to pay online or with a check from the drop down menu):*I would like to pay online now using your secure credit card processing systemI will be sending a checkPhoneThis field is for validation purposes and should be left unchanged.
