Membership Registration Form

Use this form to register for Membership
* means Required field

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Title

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

City & Province or Origin (if Canadian)

How did you hear about the CWC?

Are you interested in CWC or CWC 2.0?

If a college or university graduate, which institution did you attend?

Your spouse or significant other's name, if applicable

FOR ANNUAL MEMBERSHIP RENEWAL

When did you join the Club?*

Do you have any suggestions for future speakers or programs?

What changes, if any, would you like to see us make with Canadian Women's Club?

Photography release

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Membership dues