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

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

100 Guys Who Share – Yarmouth County

Team Registration & Re-Commitment Form

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

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

Team Member #1:

First Name *

Last Name *

Address

City

Postal Code

Best Phone Number *

Email Address *

Date

Team Member #2: