We are thrilled you want to join us and become a member of 100 Women Who Care Northern Virginia! And we have to say there is no better time to join. Your $100 donation will be matched each quarter by 50% (up to a total match of $5,000) by the Richard M. Schulze Family Foundation, making your donation an effective $150 gift.

Registration is easy. You can fill out and submit the electronic registration form below or print a copy of the registration form and bring it with you to our next meeting or email it to the NoVa chapter team.

We look forward to you being 1 of our 100 in our chapter!

Paper Registration Commitment Forms

Registration Commitment Form
For one person who donates $100 per meeting (four meetings per year).

Team Registration Commitment Form
For two people who each donate $50 per meeting (four meetings per year).
Team registrations must be completed in this manner and returned via email or brought to the next meeting.

Electronic Registration Commitment Form

    Your Name (First and Last) (required)

    Your Email (required)

    Address (required)

    City (required)

    State (required)

    ZIP (required)

    Phone (required)

    I understand my personal contact information is strictly confidential and I understand it will not be shared or distributed to an outside third party without my expressed consent. I understand that 100 WWC NoVa may choose to publish a Membership Directory and if so, I agree that my contact information be included in that directory.

    By clicking submit, I am agreeing that the information I provide above is accurate and true. I am pledging to participate in 100 Women Who Care NoVa, and I am making a personal commitment to contribute $400 each calendar year ($100 quarterly) to local nonprofit organizations serving the Northern Virginia region. I agree to donate each quarter to the nonprofit organization selected by the group’s majority vote. If I am unable to attend a quarterly meeting, I will either send my check with another attending member to deliver on my behalf, mail it as requested after the meeting, or pay online, if that option is presented. 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 Women Who Care and/or 100 Who Care Alliance.