Emerging Leaders Membership Form

Thank you for your interest in Emerging Leaders, United Way’s premiere group of philanthropic young professionals. Please complete the membership form below.

Name(Required)

First Last

Leadership Registry Name

(How do you want to be recognized in our Leadership Giving Registry?)

Company

Work Email

Personal Email

Phone

Address

Street Address Address Line 2 City State ZIP Code

Select T-shirt Size

Gift Amount(Required)

Enter Other Amount

Please enter a number greater than or equal to 500.99.

Payment Method(Required)

Bill Split

For more information, please contact:
emergingleaders@unitedwayokc.org
(405) 236-8441

Emerging Leaders Membership Form

Emerging Leaders Membership Form

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IMMEDIATE HELP

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