I am agreeing that the information provided is accurate and true.

I am pledging to participate in the Pickaway County 100+ Women Who Care.

I am making a personal commitment to contribute $200 each calendar year ($100 semi-annually) to local non- profit organizations or funds serving Pickaway County.

I agree to donate semi-annually to the non-profit organization or fund selected by the group’s majority vote.

If unable to attend a semi-annual meeting, I will either send my check with another attending member to deliver on my behalf, or mail it as requested after the meeting.

I also acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for Pickaway County 100+ Women Who Care.

I understand my personal contact information is strictly confidential and will not be shared or distributed to an outside third party without my expressed consent.

If Pickaway County 100+ Women Who Care chooses to publish a membership directory, I agree that my contact information be included in that directory.