Member Registration Form – CFUW Markham / Unionville

Print and fill out.

Name ___________________________________________________________
Date    ___________________________________________________________
Address__________________________________________________________
City   ____________________________________________________________
Postal Code__________________________
Home Phone_________________________
Email Address__________________________

New Member_______ Previous Member __________
Member of Another CFUW_______ Transferring from another CFUW _______

Highest Level of Education
______________________________________________________

In the future I might consider being part of a committee or sitting on the Executive in the following areas: please circle:

Christmas Social       May Banquet      Publicity      Overseeing the Education Fund
Website Maintenance      Email Newsletter      Membership      Social/Refreshments
Managing Club Funds       Arranging Program/Speakers      Meeting Secretary
Interest Groups (Organizing new groups; creating and distributing list of groups)       Battle of the Books (School event in cooperation with the public library)
Issues & Advocacy Committee (group discusses and addresses social/political issues)

Do you have computer skills that you would be willing to share with us on an occasional basis?
MS Word ____ Adobe____ Desktop Publisher ____ Excel ____ PowerPoint ___Website__

How did you find out about CFUW?
Friend             Newspaper             Internet             Other

May we print your contact information in our membership directory? Yes___ No___

If we take a picture at a meeting or club event that includes you, may we publish it on the Web or in a brochure? Yes___ No___

Signature_________________________________________

All information provided on this form is for Club use only. It will be held in strict confidence.
Revised 10/10/14