Membership Form Survey

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We look forward to having you join us as a member! Individuals can join at any time. Those joining after the close of our open-membership period may participate in all Black Women Give events, however voting rights will not begin until the following grant award year. All donations are tax deductible.

Please note that membership in Black Women Give is dependent upon receipt of your non-refundable donation and this form. Contributions for the 2017 grants are due by October 2, 2017.

Please fill out the sections below and return via standard mail or email the completed form to membership@bwgive.org. All fields marked with an “*” are required.

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* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. How did you hear about Black Women Give? (If a member referred you, please include her name):

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* 3. I would like to join BWGIVE (please chose one)

Full Voting Member by donating $400

Diamond Elite (Full Voting Member) – by donating $1,00.00 (or more)

Black Tie Club (men only) by donating in Honor/Memory of a woman by donating $400 (or more)

Jewel of Black Women Give with my donation (any amount)

Volunteer (No Donation required)

(Donations of $399 or less do not provide the donor with voting or membership privileges. These donations will be designated to the grant pool, at the discretion of the Board of Directors)

*** You can choose to pay in full or installments. If you would like to set up installment payments email us at installments@bwgive.org. ***

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* 4. Volunteers: How do you want to participate or assist BWG? What funding areas interest you?

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* 5. How would you like to donate? (You can choose to pay in full or in 3 Installments)

Check (Please make payable to the Black Women Give, Inc.- P.O. Box 188, Bala Cynwyd, PA 19004)

Electronic funds transfer, from your checking or savings account

Paypal (See instructions below)

I am a volunteer - no donation is required.

To pay using paypal visit www.bwgive.org and click DONATE.

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* 6. Would you like your contribution to be listed as anonymous?

Yes