Membership Renewal Form

To renew your membership (and help us process your information):
1. Submit this on-line form
2. Print and snailmail your $10 dues, to:
One Hundred Good Women
P.O. Box 397
Lawrence, KS 66044

As you know, we do not keep track of dues or have a specific time schedule for paying dues. For those of you that are long time members, we hope that you remember to send in your annual dues. We suggest a voluntary minimum of $10 annually to help defray the cost of mailings, etc.

Thank you for all your hard work and support. The work we do, be it large or small, is good work.
- The One Hundred Good Women Board

One Hundred Good Women Membership Renewal Form

Personal info:
*required information

*First Name:

Middle Initial:

*Last Name:

*Address:

*City:
*ST: *Zip:
*Phone:

*e-mail:

*alternate e-mail:

Optional:

Place of work:

Work phone:

Cell phone:

Skills/talents:

How would you like to be involved? (select all applicable):

Projects as they arise
Communications (calling/email tree, etc.)
Board of Directors
Women Speak Committee
Newsletter
Fundraising
Web Site
Other (please describe):

Current Member Questions:
Have you been involved during the last year? Yes No
If so, how?

How do you like to be contacted for our request trees?
email phone
Have you been receiving our communications regularly? (describe)

If by e-mail, do you check it regularly and all year? Yes No

Suggestions and Ideas:

Projects/Identifying Projects:
Recruiting New Members:
Women Speak Events:
Speakers/Presenters:
Fundraisers/Funding Sources:
100GW Gatherings:
Goals:
Other Ideas:

Thank you!

Membership Renewal | Contact 100GW | Memory Joggers

One Hundred Good Women | P.O. Box 397 | Lawrence, KS 66044
One Hundred Good Women is a registered not-for-profit 501(c)(3) organization.
All donations are tax deductible to the extent allowed by law.
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