100+ Men Who Care Chatham-Kent Registration & Commitment Form I am pledging to participate in 100+ Men Who Care Chatham-Kent, and I am making a personal commitment to contribute $400 for one year ($100 quarterly) to local charities and non-profit organizations serving the Chatham-Kent region. I agree to donate each quarter to the organization selected by the group’s majority vote. If I am unable to attend a quarterly meeting, I will either send my cheque with another attending member on my behalf, or arrange delivery with the Chapter Leaders following 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 100+ Men Who Care Chatham-Kent.Name First Last Email PhoneAddress Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code How Did You Hear About Us?A friendFacebookWebsiteFlyer/PostCardPlease indicate if you will be nominating and presenting to the group a charity or non-profit serving the community of Chatham-Kent. Nominations can be made throughout the year at least 3 days prior to a meeting.YesNoYour personal contact information is strictly confidential and will not be shared or distributed to an outside party without my expressed consent.Signature OUR NEXT MEETING Thursday, January 24, 2019 | 6:00 PM | Links of Kent Golf Course Doors open at 5:30 for networking. Cash bar.