Interested in Joining – 100 Men Who Care Cowichan Valley

Quick & Easy 3-Step Membership Application

We would love for you to join the Men Who Care Cowichan Valley Chapter and help make a lasting impact on our community. Simply fill out the quick and easy 3-step application below to let us know a little about yourself and why you want to become a member of 100 Men Who Care Cowichan Valley Chapter. We will be in touch with you by email in 24-48 hours after submitting your application.

Interest in +100 Men Who Care Cowichan Valley Chapter

Name *

First

Last

Email *

Cell Number *

Home Address, City, Prov., Postal Code & Type in Yes or No if you agree with the statement below *

I understand and agree with the below statement * I understand that I am making a commitment to 100 Men Who Care Cowichan Valley to make an annual donation of $400 – ($100 at each of four meetings) – given directly to local charities, non-profits and other worthy causes serving the CVRD area. I agree to fulfill my donation commitment, even if I did not vote for the charity selected by majority vote. I also agree that I will provide my cheque to another member to deliver in my place if I am not able to attend a quarterly meeting. I agree to have my contact information included in the 100 Men Who Care Cowichan Valley Membership Directory.

Phone

Tax receipts will be issued by the charities for each $100 donation.