MEMBERSHIP CONTRIBUTION

If you prefer to submit your renewal by mail, please download and print this form (Fall Renewal or Spring Renewal), and send it to: WA Women's Foundation, 2100 24th Ave S, Suite 330, Seattle, WA 98144.

MEMBER INFORMATION

FIRST NAME

NICKNAME

LAST NAME

PREFERRED EMAIL

EMPLOYER NAME

TITLE

HOME PHONE

CELL PHONE

WORK PHONE

PREFERRED MAILING ADDRESS

CITY

STATE

ZIP

I WISH TO RENEW MY ANNUAL CONTRIBUTION OF $2,500 BY:

I will send a check to the WA Women's Foundation (Foundation address: 2100 24th Avenue S. #330 / Seattle, WA 98144)I would like to make a gift of stock. Please send me more information.I would like to make a gift through my advised fund.I would like to pay by credit card.My employer will match my contribution.

ADVISED FUND NAME

MEMBERSHIP CONTRIBUTION

Annual membership contributions are $2,500. DO NOT enter $ sign or decimal or comma.

ADDITIONAL GIFT

DO NOT enter $ sign or decimal or comma.

ADDITIONAL GIFT DESIGNATION

COMPANY NAME

WOULD YOU LIKE TO ADD 3% TO YOUR CONTRIBUTION TO COVER CREDIT CARD PROCESSING FEES?

Donate 100% - Add 3% so that 100% of the donation goes to WA Women's FoundationDonate 97% - I understand my donation will be deducted 3% to cover credit card fees

TOTAL CONTRIBUTION

Upon submitting this form, you will be transferred to the PayPal payment portal. Click the "Pay Now" button with the PayPal logo. You can pay either by PayPal account OR credit/debit in the next window.

NOTES/COMMENTS:

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