CSHP WesternU Chapter Membership Form

Thank you for taking the first step in joining CSHP WesternU Chapter! Please fill out the following information and bring your payment to the CSHP table this Wed, Aug 22, for CLUB DAY. The first 50 people to sign up and provide payment will receive a free CSHP LUNCHBAG!! Supplies are limited so be sure to submit your application ASAP. All checks should be made payable to "CSHP WesternU". Please contact Sarah Kim sarahkim@westernu.com or Danielle Kim dmkim@westernu.edu with any questions.
* Required














Never submit passwords through Google Forms.