Come to our Annual Fall Coffee and sign up in person!  To sign up by mail, print this page:

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_______ NO CHANGES       _______ CHANGES AS INDICATED

 Membership Category (check):  
[   ] Newcomer      [   ] Renewal    

Member or Newcomer Name  _______________________________________________

University department with which you are affiliated (if any) _________________

Optional Name of Spouse / Plus One with Carolina Card _____________________

University department with which they are affiliated (if any) ________________

Mailing Address ____________________________________________________________

E-mail address _____________________________________________________________

Telephone ___________________________ (cell) __________________________ (home)

Pay Annual Club dues of: $20.  (Make checks payable to the University Women's Club.)

Bring your completed form and annual club dues to: The Annual Fall Coffee

Members may be added at or after the Fall Coffee event on October 4th, 2022.  To be included in our annual Directory & Yearbook, a completed form and the annual dues of $20 must be sent by October 15th.  

Thank you for your interest!