Membership Form Giving Circles - Signup Form 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 Email Home PhoneCell PhoneCommentsStatusSelect an OptionI am a new memberI am renewing my membershipRequiredPlease Select a Giving Circle100+ Women Who Care - Vigo County100+ Women Who Care - Clay County100+ Women Who Care - Sullivan CountyGuys Who Give - Vigo CountyGuys Who Give - Clay CountyBy signing below I am committing to contributing $500 per year to join my Giving Circle ($525 for 100+WWC Vigo). This includes a $100 contribution for the Endowment Fund in the Wabash Valley Community Foundation plus four quarterly contributions of $100 to each nonprofit organization chosen by the membership of this Giving Circle. Please note in the comments if you are in 100+WWC Vigo County and are 40 or younger (reduced membership of $275/year, $50 per quarter) or if you are in 100 WWC Sullivan County and are 40 or younger (reduced membership of $250/year, $50 per quarter). I agree to honor my commitment even if I am not fond of the charity chosen. If I am unable to attend a quarterly meeting, I will give my check (which will serve as my proxy vote) to another member to deliver on my behalf or send my check or electronic payment to the Wabash Valley Community Foundation.Your Initials Date MM slash DD slash YYYY Please remember to submit your $100 membership commitment. Checks should be made payable to the Wabash Valley Community Foundation and sent to: 200 South 8th Street, Terre Haute, IN 47807. Or, you can make an online payment at https://wvcf.org/donate/. TweetShare675