Membership Donation

Have an account? Click here to log in...

Please note that when paying for your membership via monthly installments your membership must be paid in full by December 31 to ensure your participation and voting rights in the current grant cycle. If your membership is not paid in full, all donations made will remain with Impact 100 Chicago and will be used to increase our merit grant awards for the current grant cycle. The monthly installments will appear as donations to Impact 100 Chicago. Once your cumulative donations reach the price of our membership, the approriate membership level will be added to your account.

First Name: Last Name: Email: Phone: Address: City: State: Zip: -

By selecting the donation level below, your credit card will be charged the respective amount for 4 consecutive months starting today.

Suggested Donation Amounts:

Membership Gold - $312.50 each month for 4 months

Membership Plus - $275.00 each month for 4 months

Membership - $250.00 each month for 4 months

Membership Gold - $312.50 each month for 4 months

Membership Plus - $275.00 each month for 4 months

Membership - $250.00 each month for 4 months

Comment:

Please note that membership payments and donations made to Impact 100 Chicago are not refundable.

My employer offers a gift matching program.

Match Company Name:

For donations in honor or memory of a special individual

Tribute Type: Tribute Name:

If you would like to create an account with Impact 100 Chicago for future use, please complete the following:

Create a Login Name: Password: Retype Password: