Membership Application

Thank you for joining Impact100 Metro Detroit.  We are Fueling Transformation Together.

Please choose one (1) membership level below.

  • Individual - you are paying for your membership (either on line or via check/PayPal).
  • Individual w/ Corporate Match - your company will pay a portion of your membership (click "PAY LATER" on the following page).
  • I Am Sponsored - your membership will be paid in full by your employer or another indivudual (click "PAY LATER" on the following page).
  • Apply for Support - you will fill out an application (on the next page) for full or partial support from Impact100 Metro Detroit (click "PAY LATER" on the following page).
  • Pay via Charitable Trust - you will fill out a form on (on the next page) with the name of the trust (click "PAY LATER" on the following page).

*  I would like to help make Impact100 Metro Detroit memberships accessible to women needing financial support.  (Please click HERE to make a donation.)


By submitting my membership, I agree:

  • That photographs with my image taken at Impact 100 Metro Detroit events may be published electronically or in printed materials.

  • To proactively disclose to the President any actual, potential or perceived conflicts of interests that may exist during the grant review process.

  • To keep confidential ALL information acquired in connection with the work I do on behalf of Impact100 Metro Detroit.  This could include, but is not limited to, member contact information and non-profit grant information.   


If you would like to manage your Neon CRM account (i.e., view donation history, renew membership, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.