Membership

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Before completing this form, please read How to apply>

To apply for membership of the University Women's Club please fill in the details below:

Title

First name

Surname

Date of birth

Permanent address

Line 01

Line 02

Line 03

City/Town

Postcode

Office Tel

Home Tel

Mobile

Fax

University or other place of study

Degree(s) or other qualifications and date(s)

Profession/Occupation

Purpose in joining

Special interests

Where did you hear about the Club?

Why do you want to join and how do you hope to make use of the club?

Declaration

I wish to become a member of The University Women's Club in the following membership category:

Membership Categories ^*

Overseas member

^*Please click here to find out what kind of member you are >

Below are the names of the members who have agreed to Proposer and Seconder my application:

Proposer

Seconder

I do not know a member

I hereby agree, if elected, to be bound by the club's rules and by-laws and, if elected, will take up membership on the first day of the month following my election.