Registration Form 2020 - 2021
CFUW Orillia
 


Last Name:*    First Name:*

Mailing Address:
Street: *  
City: *      Postal Code: * (A9A 9A9)
Telephone:     (Preferred) * (999-999-9999)        (2nd Phone) (999-999-9999)
E-mail:  *

MEMBERSHIP DUES & SCHOLARSHIP COMMITMENT:*   
Regular Member    $106.00
Supports the goals of CFUW - the pursuit of knowledge, the promotion of education, the improvement of the
status of women and human rights - in a spirit of cooperation and friendship.
Dual Member:   CFUW Orillia is my primary club.     $106.00
Dual Member:   CFUW is my primary club.     $40.00
Student Member    $53.00
Enrolled full-time in a post secondary institution - entitled to all the privileges and responsibilities of CFUW.
Scholarship Commitment:  
CFUW Orillia provides support to the young women of our community through our post-secondary
scholarship program. 		    60.00
Business Cards for Club Directory   $25.00
Publish your Business Card in the Club Directory (published November 2020).
TOTAL:
CFUW Magnetic Name Badge:    Each badge is $8.00. Please pay separately by CASH.

OPTIONAL:
Post Secondary Education:     Institution:     Degree:

Profession / Current Work / Retired:

Community Involvement:


TRANSPORTATION:
   I can drive another member to a meeting.       I would like a ride to the monthly meeting.

CFUW ORILLIA PAYMENT OF FEES:     
e-Transfer
       •   Set up the recipient email address 2cfuworillia@gmail.com in your bank’s e-Transfer system.
       •   CFUW Orillia is registered for auto deposit so no security question or answer is required.
       •   Include your first and last names in the comments section of your transfer.
OR
Cheque
       •   Cheque payable to CFUW Orillia.
       •   Mail to: Heather Lewis, 4647 Anderson Avenue, Ramara, ON, L3V 0S1.
 

Please indicate if you have experience in any of the following areas:
Audio-Visual
Photography
Publicity
 Spreadsheet
Video Conferencing Platforms
  Other


INTEREST GROUPS provide an opportunity to connect with other CFUW members. Select the group(s) you wish to belong to this year and/or suggest a new interest group below:

Advocacy Group (2nd Tuesday @ 7:00 p.m.)
Book Club (2nd Thursday @ 1:30 p.m.)
Book Club, Evening (1st Tuesday @ 7:00 p.m.)
Bridge Group (2nd & 4th Mondays @ 1:00 p.m.)
Bridge Group (1st & 3rd Thursdays @ 1:30 p.m.)
Bridge Group, Evening (2nd & 4th Wednesdays @ 7:00 p.m.)
Couples Dinner Out (3rd Friday Evening)
Dinner Club (5:00 p.m. before General Meetings)
Exploring Art (varies)
 Gardening Group (varies)
Golf Group (Monday @ 8:45 a.m., May - Oct.)
Lunch Bunch (3rd Tuesday @ Noon)
Mah Jongg (2nd & 4th Wednesday @ 1:30 p.m.)
Skiing - Downhill (Wednesday, 9:00 a.m., Jan. - Mar.)
Tech Club (1st Thursday @ 10:00 a.m.)
Wake Up Call (1st Wednesday @ 8:15 a.m. )
Walking/Snowshoeing (Tuesdays @ 10:00 a.m.)
Zoom-Licious (1st Monday @ 1:30 p.m.)
  Other:

CFUW ORILLIA DISCLAIMER
The information collected on this electronic form will be stored in a password-protected database. The Membership Team receives the CFUW Orillia Registration Form. The information is used to create our Club Directory, to compile lists for our Interest Groups and to generate lists for our social events.

By registering you are agreeing to have your photo and contact information included in the CFUW Orillia Directory, consenting to receive CFUW Orillia information via email, and acknowledging the right of CFUW Orillia to use your image in photographs and videos for use in any editorial or promotional material produced and published by CFUW Orillia.

* Essential information is indicated with a red asterisk.

Please double check all your responses before clicking the "SUBMIT" button!

Inquiries? Contact Heather Lewis    705-238-6871   teamlewis@bell.net