Donation Form

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Campaign

Purpose

Your Contribution

How would you like to split your between the Operating Fund and the Fellowship Fund? The Operating Fund provides the resources needed to run and grow our organization. The Fellowship Fund supports our Fellowship Program, which provides a complimentary membership and meaningful learning opportunities for an annual cohort of young women ages 21-39. *

100% to Operating Fund

100% to Fellowship Fund

Split 50% to the Operating Fund and 50% to the Fellowship Fund

Dedicate my donation in honor or in memory of someone (optional)

Type

Honor

Memory

Tribute Name *

Personal Message (optional)

Would you like us to notify someone of this gift?

Acknowledgee Name is the same as the Recipient.

Acknowledgee Name

Acknowledgee Email

Acknowledgee Address Line 1

Acknowledgee City

Acknowledgee State/Province

Acknowledgee Zip/Postal Code

Your information

First Name *

Last Name *

Submit as a company

Company Name

Email *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Stay Connected

Yes! I'd like to receive the Impact100 DC newsletter, event invitations, and occasional updates.

Comments (Optional)

Anything else you'd like us to know?

Payment Details

Impact100 DC is a 501(c)(3) nonprofit organization. Contributions are tax-deductible to the extent allowed by law. You will receive an acknowledgment for your records.

If you are paying by check, Donor Advised Fund (DAF) or Qualified Charitable Donation (QCD) please select the Pay Later tab.

Card

DAFpay

Pay Later

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

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Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

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Please select donation amount.

Payment Form Unable to Load: Your payment form is blocked by a firewall. This is most commonly due to use of an anonymous, untrusted IP address. If you are using a VPN to anonymize your IP, we recommend connecting through your local IP to complete your payment.

Pay by Check, Donor Advised Fund (DAF), or Qualified Charitable Distribution (QCD)

Thank you for your commitment to Impact100 DC!

Please initiate your payment now or as soon as possible so we can confirm your donation.

Important:  Please submit payment for the full amount shown on the previous screen. You have received a confirmation email with these details for your records.

If paying by check

Please make your check payable to Impact100 DC and mail to:

Impact100 DC
P.O. Box 40121
Washington, DC 20016

If paying by Donor Advised Fund (DAF)

Please log in to your DAF provider and initiate your grant request to Impact100 DC today.
Email us at paymentprocessing@impact100dc.org with the following information so we can track your contribution:
- Name of financial institution (e.g., Fidelity Charitable, Schwab Charitable, Vanguard Charitable)
- Name of your DAF account
- Grant amount
- Expected timing of the grant

If paying by Qualified Charitable Distribution (QCD)

Here is the information your IRA custodian may request. If the IRA custodian requires any additional documentation or a contact name, please let us know.

- Business name: Impact100 DC
- EIN (Tax ID): 84-2317756
- 501(c)(3) status: Yes – Impact100 DC is a registered 501(c)(3) nonprofit
- Street address: PO Box 40121, Washington, DC 20016
- Make checks payable to: Impact100 DC

If you have any questions or need assistance, please contact us at paymentprocessing@impact100dc.org.

I will follow up right away, sending my payment via check or initiating my payment from my DAF or QCD.

Please mail your payment to:
P.O. Box 40121
Washington, DC 20016

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