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Membership Form for Credit Card Donation
2024 Impact100 Donation
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$1,000 of each donation will be pooled into our grants. $100 is retained by Impact100 Greater Wausau to cover our operating expenses.
Donation Amount:
Optional Credit Card Fees
Would like to help cover the credit card fee incurred by your donation?
Yes - $30
No - $0
Optional Scholarship Donation
Impact100 Greater Wausau aims to be an inclusive organization. To meet the requests for scholarship memberships, we rely on members' generous donations. You are welcome to add an additional donation here.
0
$100
$250
$500
Are you a...
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Returning Impact100 Member
New Member
Name
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Last
Email
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Please choose one of the following:
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Impact100 Greater Wausau may publish my name on membership/donor lists
I wish to be anonymous
In publications, list my name as:
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Check the name of one or more committees you would like to learn about.
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Grants (review applications for our Impact Grants; January-April))
Membership / Events (help plan the Big Reveal, Annual Awards Celebration, and others)
Communication (help with newsletters, social media, website, and others)
Board
No committee interest at this time
Which focus areas are you most passionate about?
Arts & Culture
Education
Environment and Revitalization
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Health and Wellness
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How did you hear about Impact100 Greater Wausau?
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Donation Total
$0.00
Billing Address
Street Address
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Credit Card
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