Membership form

Please fill out all required information below. FYI: Information will not be saved if you close the form.

1. First name

Last name

2. Email address

3. Phone number

4. Mailing Address

5. Employed? Employer & position

6. What community organizations are you involved with (volunteer, board member, employee)?

7. Would you like to be actively involved?

Yes

Maybe

Not at this time

If you would like to actively participate, which area interests you?

Education (planning the panel for the Sept. gathering)

Awards (reading the applications, Sept-Oct)

Hostess (location, food and drink for gatherings)

Communication (community info sharing)

Helping with the website

Other

8. We invite you to contribute the amount for your dues that is financially comfortable for you while honoring your commitment to our mission. (The minimum of $120/annually and can be paid as $10/month with automatic payments. Suggested amounts:

9. All payments will be made to the Missoula Community Foundation and are tax deductible. Please indicate your payment method.

CREDIT CARD: Click our secure link on the JOIN page for monthly, quarterly, or yearly processing.

FUNDS TRANSFER: Please reach out to Ann Wiltse at the Missoula Community Foundation at 406-926-2846 (EIN: 81-0539830).

CHECK: Payable to Missoula Community Foundation (Include BWCG in the memo line). Mail to: Missoula Community Foundation, PO Box 8806,

I agree that the Missoula Community Foundation can share my contact and giving information with our Giving Circle but they cannot publish or share it elsewhere.

I understand my dues can only be used to support the grant awards which are given to nonprofits and processing fees.

I agree to receive emails from the Giving Circle.

I agree that my contact information can be shared with members but the contact list cannot be shared or used for any reason other than related to the Giving Circle or personal contacts.

Date

Month

Day

Year

Thank you for joining! To complete your registration, make your tax deductibe dues payment to the Missoula Community Foundation.

Welcome to our Giving Circle! If you have any quesitons or problems with this form, please contact us.