Local Impact

As a member in good standing of 100+ Women Who Care Midcoast Maine, I nominate the following organization to be considered for the group’s next Impact Donation:

Nominating Member Name

First Name

Last Name

Nominating Member Email

Nominating Member Phone

(###)

###

####

Organization Name

My relationship to the organization.

The nomination form must be submitted at least one week prior to the meeting.

The 100+ Women Who Care Midcoast Maine thanks you for your support!