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 *
LAST NAME *
RENEWAL *
ADDRESS (Number and Street) *
Apt#
CITY *
Postal Code *
PREFERRED TELEPHONE NUMBER - what is the best number to reach you? *
Email *
PAST OR CURRENT EMPLOYMENT EXPERIENCE *
SKILLS AND INTERESTS *
NEW MEMBERS- How did you hear about us?
INTEREST GROUPS (Check those which you would like to join in 2024-2025)
Suggestion for a new interest group
If you have suggested a new interest group, will you organize it?
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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 *
Do you plan to pay your dues by: *
If Dual Member, please enter name of other Club
CFUW Nepean may publish photos of Club members engaging in Club activities. Do you agree to have your photo published? *
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