Give Where You Live NKY Commitment Form

Name *
I am able to participate in the 2020 dates: 3/19/20, 6/18/20, 9/17/20, 12/10/20 *
Additional name (if signing up as a couple)
Additional name (if signing up as a couple)
Mailing address
Mailing address
Membership list
If signing up as a couple:
I understand that if I choose to participate in Give Where You Live NKY, I am making a personal commitment to donate $400 each year, $100 at each quarterly meeting, to charities/nonprofits serving Boone, Campbell, and Kenton Counties in Northern Kentucky. I also understand that, even if the charity selected is not my first choice, as a member I will donate to the charity of the group’s top vote. If I am not able to attend the quarterly meeting, it is my responsibility to get my $100 gift to Horizon Community Funds via check or online donation, to be distributed to the charity selected during the respective meeting. *
Date *