HUAC of GWDC Membership Form
2017-2018 Online form
Email address *
Name *
Membership HUAA number, if known
Address *
Phone number (cell and home) *
School/College *
Major *
Year(s) Attended/Graduated *
Birthday *
MM
/
DD
/
YYYY
Is your spouse an alumnus/alumna? *
Profession/ Position *
Referred by: *
Membership type *
Required
When was membership purchased? *
Membership Purchased *
Required
Special Interests/Skills *
Required
Method of payment Transaction/Confirmation number (place in other) *
Required
Five dollars ($5.00) of your HUAA membership fee will be applied to one of two scholarship funds, please select your preferred fund below. *
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Have questions? Contact Monique at HUGWDCMEMBERSHIP@GMAIL.COM
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