If you are ready to join us in making a difference on a local level, please sign up below (required fields are indicated by *).

If you are going to sign up as a team of two, please fill out the form.

Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
Waukesha County Commitment *
I understand that I am making a commitment to 100+ Women Who Care Waukesha for the amount of $400 total annually, $100 per meeting or $50 each for a team of two to be given to the charity we vote for unanimously and to be paid direct to the charity. If I have to miss a meeting, I will make arrangements to send the money with someone else or send it to the group representative provided to me. I will have 14 days to make that payment. If the charity I voted for does not win the nomination, I will still support the charity that is chosen with my donation. I agree to have my membership automatically renew one year at a time until notice is provided.
Please type your full name.
Date *
Date