Membership Form

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Your annual membership begins with a $1,000 contribution to the grant pool.

Later in this form, you'll have the opportunity to become a Member Plus by making an additional donation to support Impact100 DC's Operating Fund.

Include a submember in your membership registration

Most members choose to renew as a Member Plus by making an additional donation of $100 or more to support Impact100 DC's Operating Fund, which provides the resources needed to run and grow our organization.

Your first $100 will be directed to the Operating Fund. If you donate more than $100, you may direct the additional amount to the Operating Fund, the Fellowship Fund, or both. 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.

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.

Click Next to enter your payment information.

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

How would you like to stay connected with Impact100 DC? *

Receive regular Impact100 DC communications, including our monthly newsletter, event invitations, volunteer opportunities, and important organizational updates. (recommended)

Receive only essential communications related to membership, voting, tax receipts, and administrative matters.

Would you like to be included in the password-protected Impact100 DC Member Directory? You can choose which of your contact information is visible to other members. *

Yes, include me in the directory.

No, do not include me in the directory.

May we use photos of you in Impact100 DC promotional materials? *

Yes, Impact100 DC has the unrestricted right to use images of me from Impact100 DC events (both live and virtual) for trade, marketing, and other purposes without restriction and without my inspection or approval. I hereby release Impact100 DC and its respective agents from any legal claims or financial liability associated with such use.

No, Impact100 DC may not use images of me from Impact100 DC events for any purpose.

May we share your name in Impact100 DC materials? *

Yes, you may share my name in Impact100 DC materials.

No, you may not share my name in Impact100 DC materials.

Would you like us to text you?

Yes, I would like to receive confirmations and reminders about upcoming events via text from Impact100 DC.

Please enter phone number as numbers only

PLEASE TELL US ABOUT YOURSELF

We’re proud of the vibrant and growing community behind Impact100 DC. These quick questions help us better understand who’s part of our network. Please tell us about your background.

What kind of work do/did you do? Industry, profession — whatever you’d like to tell us! (Optional)

Is there anything else about your background, interests, or experience you’d like to share? (Optional)

(This could include skills, areas of expertise, causes or issues you care about, or volunteer and civic involvement.)

We seek to build a diverse membership base. We strive to understand how our membership reflects the greater DC region. Please tell us how you identify. If you do not want to share this, please select "Prefer not to answer." *

How do you self-describe?

Please tell us your birth year. If you do not want to share this, please select "Prefer not to answer" at the bottom of the list. *

Please set up your account (Quick & Easy!)

Set up your account in just a few steps. Once you’re in, you can easily manage your membership, browse the Impact100 DC member directory, and register for upcoming events.

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Include a submember

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I would like to automatically renew my membership

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

Thank you for your commitment to join Impact100 DC.

Please initiate your payment now or as soon as possible so we can confirm your membership and include your contribution in our next grant pool.

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 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

Amount:

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BECOME A MEMBER

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