Please complete the information below and submit this form at least 1 week (5 business days) before the meeting. You can also send it by email to [email protected]

Name (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Your Email (required)

Best Phone Number (required)

I understand that I am making a commitment to 100+ Men Who Care – Knoxville to make an annual donation of $400 – ($100 at each quarterly meeting) – given directly to local charities/non-profits serving the Knoxville area. I understand that even if I did not vote for the charity chosen by majority vote, I will fulfill my donation commitment. I also understand that if I am not able to attend a quarterly meeting that I will provide my check to either another member to deliver or mail in advance of the meeting. I also acknowledge that photographs and videos taken at events and meetings may include my image and may be used for promotional materials for the 100 Men Who Care Knoxville chapter. Initial here: (required)

How did you hear about us?

I agree to have my contact information in the 100 Men Who Care Directory
(The Membership Directory to only include member names.)