Join as a Team

1st Team Member (Administrator)

First Name *

Last Name *

Email Address *

Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Today's Date

mm/dd/yyyy

Membership Level *

Standard

Next Generation (under 40)

*Please note for teams joining under the Next Generation membership, both members must be under 40.

Date of Birth (required for Next Generation Members)

mm/dd/yyyy

2nd Team Member

First Name *

Last *

Email Address *

Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Become a Mentor *

Yes

No

Mentee

First Name *

Last *

Email Address *

Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Date of Birth (required for Next Generation Members)

mm/dd/yyyy

Note: If your system is operating with Microsoft Internet Explorer, the donation page is not supported.

IMPORTANT: Once you click Continue to Payment, you will be redirected to a payment page. Select Women's Giving Circle from the list of funds and enter your payment amount.

1st Team Member (Administrator)

2nd Team Member

Mentee

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