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CFUW Nepean 2024-2025 MEMBERSHIP FORM
CFUW Nepean is a member club of CFUW (Canadian Federation of University Women), a national affiliate of GWI (Graduate Women International). CFUW welcomes women of all educational backgrounds. Not-for-profit, non-partisan, volunteer.
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FIRST NAME
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Your answer
LAST NAME
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Your answer
RENEWAL
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YES
NO
ADDRESS (Number and Street)
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Your answer
Apt#
Your answer
CITY
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Your answer
Postal Code
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Your answer
PREFERRED TELEPHONE NUMBER - what is the best number to reach you?
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Your answer
Email
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Your answer
PAST OR CURRENT EMPLOYMENT EXPERIENCE
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Your answer
SKILLS AND INTERESTS
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Your answer
NEW MEMBERS- How did you hear about us?
Your answer
INTEREST GROUPS (Check those which you would like to join in 2024-2025)
Armchair Travel (3rd Tues 1 pm)
Art Tours (2nd Wed 1 pm)
Book Club (4th Tues 1 pm)
Bridge (Mondays 1 pm)
Lunching out (3rd Wed noon)
Movie Matinee (2nd Fri aft)
Environmental Action (3rd Thurs 1 pm on Zoom)
Friday/Exercises/Chat (Fridays 10 am)
Advocacy
Community Outreach
Suggestion for a new interest group
Your answer
If you have suggested a new interest group, will you organize it?
Yes
No
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MEMBERSHIP FEE - Please make cheque payable to CFUW Nepean and mail to Dolores Dufresne, 119 Dalecroft Cres., Nepean ON K2G 5V8, or e-transfer funds to
CFUWNepean91@gmail.com
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Full Member: $110
Dual Member: $40
Do you plan to pay your dues by:
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e-transfer to
CFUWNepean91@gmail.com
mail (cheque)
in person (cheque or cash)
If Dual Member, please enter name of other Club
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CFUW Nepean may publish photos of Club members engaging in Club activities. Do you agree to have your photo published?
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No
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