Impact100 SRQ

2024 Sponsor a Member

Thank you for giving the Gift of Impact100 SRQ Membership. All membership dollars go directly to our nonprofit grants and are fully tax deductible.

Name: *

Address:

Email:

Phone:

Pending Member Name (First, Last):

Pending Member Address:

Pending Member Phone Number:

Pending Member Email:

Because 100% of our member dollars go to fund transformational grants, we rely on generous members, local businesses and the community to cover operational costs. Our members have the option to be 110% members at $1100. The additional $100 helps offset operational cost to help us remain a self supported organization.

Would you like the member you are sponsoring to be a 110% member? *

Yes

Thank you for completing this form and giving the gift of membership. Please submit this form and someone from Impact100 SRQ Treasurer will contact you shortly.

If you have additional questions, please contact, Treasurer@impact100srq.org