Name: (Insert your first & last name)
Email: (Insert your e-mail address)
Subject: (Insert the charity you wish to nominate and a contact name for the charity. If you want to nominate more than one charity, separate each charity name and contact with a comma)
Message: (Insert the address where the receipt for charitable donation should be sent. Please include a phone number in the event we need to contact you concerning one of our meetings, your receipts or concerning your membership.
Note: Only members can nominate a charity.
Eligibility of Charity:
By pressing on the submit button to send my membership application, I acknowledge I have read and understood the terms and conditions of 100 Men who Care of Greater Moncton. I also agree to have my name and contact information included in the 100 Men who Care of Greater Moncton membership directory. Please note that we greatly value your privacy and, as such, your personal information will never be shared and will only be used for our administrative purposes.
of Greater Moncton
Copyright 2013. 100 Men Who Care of Greater Moncton. All rights reserved.