Membership Commitment Form

Thank you for your interest in joining 100 Men of Bay St.! Please fill out the form below. This information is needed for planning purposes, for the meetings and for receipts from the organizations that will receive the donations.

By signing below, I acknowledge that my picture may appear on the 100menbayst.ca website and social media pages. At this time we are not publishing member names, although that may change at any time without further notice.

First Name *

Last Name *

Street Address *

City *

Postal Code *

Phone *

Email *

Occupation *

Company / Organization

How did you hear about us?

Anything else you'd like us to know?

Acknowledgements

I understand that I am making a commitment to 100 Men of Bay St. to make an annual donation of $400 ($100 at each of the four meetings), which will be given directly to local charities, non-profits and organizations. I acknowledge that my picture may appear on the 100menbayst.ca website and social media pages. At this time we are not publishing member names, although that may change at any time without further notice. My membership with the club will be contingent on contributing the respective amount at each meeting.

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