Affinipay Test

Name*

First Last

Are you a new member or returning member?*

New
Returning

Returning member, has any of the below information changed since the previous year?

Mailing Address
Phone Number
Email Address
All of the above
Nothing has changed since the previous year

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Preferred Phone

Membership Fee

Price: $1,100.00

$100 dollars of your membership fee helps to defray administrative & event costs so your entire donation of $1000 will go to charitable organizations.

If you would like to contribute more than $100 toward Administrative costs please click "yes" below:

Yes

Thank you for supporting the administrative costs of our Foundation!

$250
$500
$1,000
Other

Please enter the amount you would like to contribute toward the WRWF administrative fee's.

Please choose how you would like to allocate your $1000:*

For maximum WRWF impact, please allocate my entire $1,000 contribution to the WRWF Pooled Fund for Wood River Valley Grants
Please allocate $500 to the Wood River Women's Foundation Pooled Fund and $500 to the following :
Please allocate $500 to the Wood River Women's Foundation Pooled Fund and $250 to each of the following:

Organization Name:

Organization Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organization Phone:

Organization #1 Name:

Organization #1 Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organization #1 Phone:

Organization #2 Name:

Organization #2 Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organization #2 Phone:

Sponsor a Member

Check if you would like to sponsor a member

Thank you for choosing to sponsor a member

Price: $1,100.00

Membership Form TEST

Voting on 2020 Grants Coming Soon!