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CFUW Kitchener-Waterloo REGISTRATION 2017 - 18
We request that you please use the ONLINE REGISTRATION. This helps us make our administration much more efficient.
Thank you.
Register: EITHER online www.cfuwkw.org OR by printing this registration.
DEADLINE FOR REGISTRATION - SEPT 19, 2017
Payment may be made by mailing a cheque (see next page for instructions) or bringing cash or cheque to the September 19/17 meeting.
Name: ______
MEMBERSHIP TYPE (Please check √ where applicable) COST
o Full A graduate from an accredited university or a woman who supports the purposes of CFUW $ 110.00
o Dual Please specify the other CFUW club to which you are paying full dues ______$ 40.00
o Student Full-time University or College student $ 55.00
o Partial Year New full membership received after February 1, 2018 $ 65.00
CFUW K-W Charitable Fund Donation(s) (tax receipt will be issued) *see page 3
o Carolyn Haehnel/Mabel Dunham Fund (to achieve sustainability) $______
o Edna Haviland Fund (to achieve sustainability) $______
o CFUW K-W Charitable Fund – Unrestricted $______
o I DO need a printed directory this year Total $______
o I DO NOT need a printed directory this year
(If neither box is checked, you agree to access the directory online.)
MEMBERSHIP STATUS o Renewing Member
(Please check √ where applicable) o New Member - How did you find us?
o Friend (name) o Newspaper o Internet o Other ______
The information collected on this form will be used by CFUW Kitchener-Waterloo to create a database of members.
This database will be used to publish a membership directory for the personal use of members, and may be analyzed for membership trends. It will not be sold, loaned, or provided in any way to any other individual or organization. Under the Freedom of Information and Protection of Privacy act (FOIPP) permission is needed to print/post images or information on our CFUW members in our monthly newsletter and on the website. Remember that the Directory is available in print and on restricted Member Area of our website and is only available to current members. It is not to be used for marketing purposes.
If you have any objections to your name or picture (including your personal information) being included on the RESTRICTED MEMBERS AREA of our website (it is password protected so general public CANNOT ACCESS THAT INFORMATION),
please check this box. o
If you have any objections to your name or picture (including your personal information) being included in our PRINTED DIRECTORY, please check this box. o
I certify that all the information provided in this application is accurate and true and that I support the principles of CFUW KW.
I understand I may attend interest group activities only when my membership dues for the 2017-18
membership year are paid in full.
Signature: ______Date: ______
PLEASE REGISTER ONLINE. Pay by cheque or cash at September 19, 2017 meeting, or send cheque to address below.
Make cheques payable to: CFUW Kitchener-Waterloo
If not registering online Jo-Ann Carlisle
mail both pages to: 70 Ellis Avenue
Kitchener, ON N2H 4G7
Please pass along the publicity brochure (with no contact information) to friends who may be interested in joining our club.
Please indicate if you have an interest and/or experience in any of the following areas of club need:
o Telephoning o Fundraising – Book Sale o Advocacy
o Hospitality o Web design (CMS) o Bookkeeping
o Social Media (Twitter, Facebook) o Membership o Marketing
o Event Planning o Newsletter editing o Resolutions & Legislation
o Graphic Design (i.e., slideshow on website) o Nominations Committee o Attend Ontario Council Meeting
o Greeter at General Meetings
Other Skills: ______
MEMBERSHIP DIRECTORY – 2017-18
Club photographers will be available to take photos in the social time before both the Sept 19 and Oct 17 general meetings.
If your current photo is outdated (more than 5 years old) or of poor quality, please consider getting a retake.
If you can’t make it to either of these meetings, please mail or email (preferably) a high resolution photo (e.g. directly from your digital camera) to:
Barbara Mahony
15 Dayman Crt
Kitchener, ON N2M 3A1
Additional options:
· Access the latest up-to-date Online Directory through the “Members Area” of cfuwkw.org
· Download a pdf version of the directory from the “Members Area” of cfuwkw.org, then transfer it
to your cell phone or tablet OR email our Web Administrator directly at
Please help us by registering online if possible. If not registering online, please complete both pages of this Registration Form. Thank you.