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University of Wisconsin - Whitewater, Florida Alumni Chapter | ||||||||||||||||||||||
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MEMBERSHIP & RENEWAL APPLICATION | ||||||||||||||||||||||
Thank you for becoming a member or renewing your membership. Paul Frey Class of '68 - Chapter President |
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NAME: CLASS OF: SPOUSE/PARTNER NAME: CLASS OF: FLORIDA ADDRESS: PHONE: ( ) FAX: ( ) I / we reside at this address: YEAR ROUND or FROM TO "Other" Address: PHONE: ( ) FAX: ( ) EMAIL ADDRESS: I am a UWW-Florida Alumni Chapter member and I want to renew my membership. Enclosed is my check, made payable to: UWW FOUNDATION, in the minimum / annual amount of $10.00 I would like to be a member of the UWW-Florida Alumni Chapter. My check, made payable to: UWW FOUNDATION, in the minimum / annual amount of $10,00 is submitted with this application. I do not want to be a member of the UWW-Florida Alumni Chapter. However, I do wish to make a monetary contribution. My check, made payable to: UWW FOUNDATION in the amount of $ is enclosed. A paid membership (minimum / annual $10.00) with the UWW-Florida Alumni Chapter entitles its members to the following: *UWW Alumni cling-on sticker *Invitation to UWW Alumni events (beyond the St. Pete & Ft Myers events that already take place courtesy of Mark Dorn) *Discounts on admission to alumni events for UWW-Florida Alumni Chapter members. *UWW-Florida Alumni Chapter website and email updates. Please let us know if you have any additional comments / suggestions: Please mail this completed application along with your check, payable to the "UWW FOUNDATION", to: Phillip Marty 9307 Rockrose Drive Tampa FL 33647-2908 QUESTIONS ? - Contact Membership Co-Chairs: Ken Westphal or Phil Marty THANK YOU FOR YOUR SUPPORT OF THE UWW-FL ALUMNI CHAPTER |
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