Registration Form 2025 - 2026 CFUW Orillia If you cannot fill out this form on-line, please call Sheila Marner at 416-558-5992 or Cathy Sirdevan at 705-326-3768

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Last Name:*    First Name:*

E-mail (preferred):  *

Please tick if you are a New Member

Returning Members:

Please tick if there are no changes from last year, then go to the Membership Dues & Scholarship Commitment section and continue from there. If there are changes, please complete the entire form.

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Mailing Address:
Street: *  

City: *	Postal Code: *
Telephone: *    (mobile)	(home)

OPTIONAL:
Profession / Current Work / Retired:


Community Involvement:

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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 (1st & 3rd Wednesdays, 1:30 PM) Cocktail Hour / Dinner Out (2nd Friday Evening) Community Connections (Days and times vary) Dinner Club (5:00 PM before General Meetings) Fifth Tuesday Flicks (5th Tuesday in September, December & March). Friendship, Fun & a Book Club (1st Tuesday, 7:00 PM)

Golf Group (Monday, 8:45 AM, May - Oct.) Hiking (2nd, 4th & 5th 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, January to March) Tech Club (1st Thursday, 10:00 AM) Wake Up Call (1st Wednesday, 8:15 AM ) Walking (1st & 3rd Tuesdays, 10:00 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 7th, 2026. 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 five Standing committees; Advocacy, Communications, Homes for Scholarships, Membership or Program. Please indicate which committee you are interested in:

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SOCIAL MEDIA:
Which of the following social media platforms do you use? Please check all that apply.

Facebook    Instagram    X (formerly Twitter)    LinkedIn    None   

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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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MEMBERSHIP DUES & SCHOLARSHIP COMMITMENT:*   

	Regular Member    $110.00 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 between April 1 and August 31, 2025. $110 of membership dues already paid will be carried forward to 2025/2026.
	Dual Member: Either:  CFUW Orillia is my primary club.     $110.00       Or:  CFUW is my primary club.     $44.00
	Student Member    $55.00 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.	70.00
	I would like a printed handbook   $5.25
	CFUW Magnetic Name Badge: Replacement badges are $10.00. Please indicate the name you would like on your badge:
	TOTAL:

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CFUW ORILLIA PAYMENT OF FEES:      Please indicate method of payment: *

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: Sharon Penny, 20 Museum Drive, Unit 209, Orillia, ON, L3V 7T9.
 

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CFUW ORILLIA DISCLAIMER
The information collected on this electronic form will be stored in a password-protected database. The information is used to create our CFUW Orillia Handbook and Online Membership Directory, to compile lists for our Interest Groups and to generate lists for our social events. The CFUW Orillia Handbook and Online Membership Directory is for members' use only and is not to be shared with and/or sold to third parties.

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

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Inquiries? Contact	Sheila Marner    416-558-5992   sheilamarner44@gmail.com
or	Cathy Sirdevan  705-326-3768   cathy.sirdevan@gmail.com

* Essential information is indicated with a red asterisk.

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