100 Guys Who Share Yarmouth County | Yarmouth, NS | Registration & Re-Commitment Form

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100 Guys Who Share – Yarmouth County

Registration & Re-Commitment Form

Commitment: With my signature below, I am agreeing that the information I provide below is accurate and true. I am pledging to participate in 100 Guys Who Share – Yarmouth County, and I am making a personal commitment to contribute $400 each calendar year ($100 quarterly) to local nonprofit organizations serving the Yarmouth County region. I agree to donate each quarter to the nonprofit organization selected by the group’s majority vote. If I am unable to attend a quarterly meeting, I will either send my check with another attending member to deliver on my behalf, mail it as requested after the meeting, or pay online, if that option is presented. I also acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for 100 Guys Who Share – Yarmouth County.

I understand my personal contact information is strictly confidential and I understand it will not be shared or distributed to an outside third party without my expressed consent. If 100 Guys Who Share – Yarmouth County chooses to publish a Membership Directory, I agree that my contact information be included in that directory.

Member:

First Name *

Last Name *

Address

City

Postal Code

Best Phone Number *

Email Address *

Date

Completed Commitment Forms may be scanned and sent via e-mail to 100 Guys Who Share - Yarmouth County or forms may be completed and turned in at a meeting. (Should you wish to discontinue membership at any time after your four-time commitment, please send an e-mail to info@100guysyarmouth.com, indicating your withdrawal.)

Registration & Re-Commitment Form