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Impact 100 Owensboro Members

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Welcome! If you are a new member to Impact100 Owensboro just complete the form below and gain access to our members-only site or download the Membership Form and return it to the address indicated on the form. Please note that all memberships must be paid in full by August 31.

**If you are a returning member just click RENEW.**

New Members fill out form below:

Step 1 of 5 - Member Information

20%

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Phone
The primary phone number where you can be reached.
Secondary Phone
A fallback phone number we may use to get in touch with you.

Impact 100 Owensboro is a non-profit organization exempt from federal taxes under IRS Code 501(c)(3). All contributions are tax-deductible.
Membership Options*
- 110% Membership* ($1,100)
- Full Membership ($1,000)
- Half Membership ($500)
*I understand that 100% of my $1,000 membership will be used exclusively to fund the grants awarded by Impact 100, and the extra $100 will be used to offset operating expenses.
Additional Gift

You may make a donation in addition to your membership fee (or 110%). The Additional Gift will not be included in the grant, but rather will be used to offset operating costs.
Additional Notes
- My company makes matching contributions**
- Please contact me regarding a gift of stock
** Only at the discretion of the Board of Directors will this money be included in a grant.

Volunteer Opportunities
- Focus Groups (May through August)
- Grants Committee
- Events
- Membership/Recruitment
- Communications
- New Member Mentorship
- Welcome Committee - Help with events
- Food - Bring food for events
- Telephone - Call members or nonprofits as needed
- Accounting & Finance Expertise
- Legal Expertise
- Technology - website design and hosting, content updates
- Technology - software systems and data integration
- Graphic Design
- Photography
- Public Relations, Writing, Publicity/Communications
- Social Media
Select all that apply.
Permission to publish name*
- I grant IMPACT 100 Owensboro permission to publish my name in donor appreciation listings
- I DO NOT want IMPACT 100 Owensboro to publish my name in any donor appreciation listings
Subscribe
- I want to stay informed! Please send me news and updates about IMPACT 100 Owensboro

A user account will provide you with access to member-only content on our website: member.impact100owensboro.org.
Username*
Password*
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Strength indicator

The minimum password strength must be "Good".

Payment Method*
- Credit Card
- Will Mail Check
- Invoice Me
Monthly invoices will be emailed to the address you have provided. You can make installment payments or send in one payment, whichever you prefer.
Please make your check payable to Impact100 Owensboro and send to:

Impact100 Owensboro
117 East 18th Street, #2290
Owensboro, KY 42302
Full payment must be made by August 31.
Total
$0.00
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117 E. 18th Street, #2290
Owensboro, KY 42303

[email protected]

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