Clone of Membership Registration Form

Wilberforce University – Washington, DC Chapter Membership Application

Local Dues are $75.00/year and memberships are current from September 1 – June 30. Dues can be paid via check. Make checks payable to WUAA – DC Chapter Mail to: WUAA DC Chapter, 2 Massachusetts Avenue NE, #75034, Washington, DC 20013 ATTN: MEMBERSHIP
Name*

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Address:*

Street Address

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Postal / Zip CodeCountry
E-mail*
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If alumni, list Class Year?
Major
Please select a chapter committee(s) of interest
Other Skills/Talent
New Graduate

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Are you a family member of a WU graduate or friend?
Any Greek-lettered Affiliation? If so, list organization and pledging year
Comments
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Membership Dues (Annual)$77.00
$75 Membership Dues $2 Paypal Service Charge

New Gradute$ Free
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Wilberforce University – Washington, DC Chapter Membership Application