Gift Membership Form_Donation

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Purchase a Gift Membership

Thank you for sponsoring an Impact100 DC membership.

This form is for purchasing a Gift Membership for someone else. If you'd like to join or renew your own membership, please visit Join or Renew

If your company wishes to sponsor an employee as a member, please fill out the Employee Sponsorship form.

Purchase your gift membership now.

Please select a membership amount below for your recipient's Impact100 membership — either $1,000 to the grant pool (Member) or $1,000 to the grant pool plus $100 to the Operating Fund, which provides the resources needed to run and grow our organization (Member Plus).

Donate Once

Monthly gifts go further — cancel or pause anytime.

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Recipient Information

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Gift Membership Recipient - First Name *

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Gift Membership Recipient - Last Name *

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Gift Membership Recipient Email *

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Optional message to your gift recipient:

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Your information

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First Name *

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Last Name *

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Email *

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Address Line 2

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City *

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State/Province *

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Zip/Postal Code *

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Country

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Stay Connected

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

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Comments (Optional)

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Anything else you'd like us to know?

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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 or Donor Advised Fund (DAF), please select the Pay Later tab.

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Cardholder Email

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Card *

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Address Line 1

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Address Line 2

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Zip *

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Please select donation amount.

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Pay by Check or Donor Advised Fund (DAF)

Thank you for giving an Impact100 DC gift membership!

Please initiate your payment now or as soon as possible so we can confirm your donation and set up your gift recipient's membership.

Important:  Please submit payment for the full amount shown on the previous screen. You will receive 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 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.

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

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GIVE A GIFT MEMBERSHIP

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Choose monthly giving and
multiply your impact.

Your {{formatAmount(mgs.oneTimeAmount)}} gift matters. A recurring gift - at a lower amount - gives {{orgInfo.orgName}} the reliable support we need to deliver on our mission.

Pause or cancel anytime

No long-term commitment

Every gift goes directly toward our mission