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CAWC 2001-2002
Membership Application

MEMBERSHIP USE:

DT______________

CK______________

MID_____________

Send completed application with cheque for £30 (payable to CAWC) to:
CAWC Membership, P.O. Box 445, Gerrards Cross, BUCKS SL9 8YU  ENGLAND

Name (first) ______________________________ (surname) ________________________________

Husband’s Name ___________________________________________________________________

Street Address ____________________________________________________________________

Town_______________________ County _____________________ Post Code ________________

Telephone_______________________________ Mobile____________________________________

Fax _____________________________________ E-mail___________________________________

Your Birthday (Month) ____________________ (Day) _____________________________________

Childrens Names and Year of Birth_____________________________________________________

__________________________________________________________________________________

Where do you call home? ____________________________________________________________

Company Affiliation _________________________________________________________________

Volunteer Interests: [   ] Public Relations     [   ] Finance     [   ] Fundraising

[   ] Crafts     [   ] Others (specify) ____________________________

I AM APPLYING FOR:

Full Membership: Citizens or spouses of citizens of North American countries.

[   ] Full New Membership     [   ] Renewal - Full Membership

Associate Membership: Strong active ties with North America. Tick all that apply:

[   ] New Associate Membership     [   ] Renewal - Associate Membership

[   ] Myself or my spouse is employed by a North American Company

[   ] I have held residence in North America for 12 consecutive months

[   ] My children are currently enrolled in a North American school

[   ] I have been a member of an American Women’s Club elsewhere.

Honorary Membership: Original member of the founding club:

[   ] Honorary Membership

MEMBER RESPONSIBILITIES:

Information given is confidential and is used strictly by CAWC. If, however, you do not
wish it to be published in the members’ directory, please indicate by ticking here. [   ]

All CAWC members are required to assist the General Meeting Hostess with hostess duties
during one General Meeting per year.

Liability Waiver: I understand that CAWC is not responsible for any injury, accident, or
property loss that may occur in conjunction with any Club events.

Signature __________________________________________________ Date________________