Registration Form 2023 - 2024 CFUW Orillia If you cannot fill out this form on-line, please call Sheila Marner at 416-558-5992

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Last Name:*    First Name:*

Mailing Address:
Street: *  

City: *	Postal Code: * (A9A 9A9)
Telephone:     (preferred) * (999-999-9999)	(2nd Phone) (999-999-9999)

E-mail (preferred):  *

*    New Member       Returning Member      

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.
	Regular Member who joined after March 31, 2023. $106 of membership dues already paid will be carried forward to 2023/2024.
	Dual Member: Either:  CFUW Orillia is my primary club.     $106.00       Or:  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
	TOTAL:
	CFUW Magnetic Name Badge:   Name badges for new members are included in the registration fees. Replacement badges are $9.00 to be paid in cash. Please indicate the name you would like on your badge:

OPTIONAL:

Post Secondary Education:

Institution:     Degree:

Profession / Current Work / Retired:

Community Involvement:

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TRANSPORTATION:

I can drive another member to a meeting.

I would like a ride to the monthly meeting.

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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: Virginia Millar, 3578 Shadow Creek Rd., Severn, ON, L3V 0V8.
 

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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 PM) Book Club (2nd Thursday, 1:30 PM) Bridge Group Monday (2nd & 4th Mondays, 1:00 PM) Bridge Group Thursday (1st & 3rd Thursdays, 1:30 PM) Bridge Group Wednesday Afternoon (1st & 3rd Wednesdays, 1:30 PM) Bridge Group Wednesday Evening (1st & 3rd Wednesdays, 7:00 PM) Cocktail Hour / Dinner Out (3rd Friday Evening) Community Connections (Days and times vary) Dinner Club (5:00 PM before General Meetings) Exploring Art (days and times vary) Fifth Tuesday Flicks (5th Tuesday in October, January and April).

Friendship, Fun & a Book Club (1st Tuesday, 7:00 PM) Gardening Group (days and times vary) Golf Group (Monday, 8:45 AM, May - Oct.) Hiking (Tuesdays, 10:00 AM) Lunch Bunch (3rd Wednesday, 12:30 PM) Mah Jongg (2nd & 4th Wednesdays, 1:30 PM) Skiing - Downhill (Wednesday, 9:00 AM, Jan. - Mar.) Tech Club (1st Thursday, 10:00 AM) Wake Up Call (1st Wednesday, 8:15 AM ) Zoom-Licious (1st Monday, 4:30 PM)

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CFUW Orillia is a volunteer-run organization and we rely on members to help out where they can. Please indicate where you are willing to volunteer. Choose as many as you wish. We will be following up directly with you as needed.

	Homes for Scholarship Tour, Sunday June 2nd, 2024. We strongly encourage all members to participate in our major fundraiser.
	Join a team of four (a quadrumvirate) to help with running a monthly General Meeting. Indicate if you have a preference of meeting date, or a member or two you'd like to team up with:
	Lead an existing Interest Group or form a new group that you are willing to lead.   Please indicate which group:
	Join one of our four Standing committees; Advocacy, Homes for Scholarships, Membership or Program. Please indicate which committee you are interested in:

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BIRTHDAY (Optional):

Let other club members know when your birthday is so they can celebrate with you. This list is included in the weekly communication e-mail.

Month:     -- Select Month -- January February March April May June July August September October November December       Day:       

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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 CFUW Orillia Handbook, to compile lists for our Interest Groups and to generate lists for our social events. The CFUW Orillia Handbook is for members' use only and is not to be shared with or sold to third parties.

By registering you are agreeing to have your photo and contact information included in the CFUW Orillia Handbook, 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.

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* Essential information is indicated with a red asterisk.

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

Inquiries? Contact Or

Sheila Marner    416-558-5992   sheilamarner44@gmail.com Ann Lucas    705-835-5567   ag.lucas@egl-group.com