To join 100 Men Who Give A Damn! - Galway, please fill out the following form. By submitting your info, you are agreeing to a few terms and conditions...

  1. You agree to donate €100 to the charity selected by the majority of members, once per quarter.
  2. You agree to have your info stored. (Your info will not be shared with any external parties - promise).
  3. If you cannot make it to a quarterly meeting, you agree to give your €100 cheque to a fellow member to bring on the night, or transfer directly to the winning charity online.

Optional: Please nominate up to three local Galway charities to pitch when you sign up (or national charities with a Galway presence). You can search for, or download a complete list of, Registered Irish Charities.

First Name *  
Last Name *  
E-mail *  
Company Name (if using corporate cheques)  
Phone *  
Nominated Charity #1 (optional)  
Nominated Charity #2 (optional)