2007-2008

UNIVERSITY OF VIRGINIA WOMEN’S CLUB MEMBERSHIP

Please return this form with your yearly dues of $20.00

Circle your membership type:

Active:  You or your spouse is currently a member of the faculty, administration, research,      teaching, or athletic department at the University of Virginia.

Associate:  You are a formerly eligible member who no longer is directly affiliated with the University, or you are separated or divorced from a spouse affiliated with UVA.

Honorary:  You or your spouse is a retired faculty or staff member of the University, or you are the widow of a faculty or staff member of the University of Virginia.

Newcomer:  You are either a first or second year member of the UVA Women’s Club.

NAME ______________________________________________________

PLEASE UPDATE YOUR CONTACT INFORMATION (AS NECESSARY) FOR THE 2007-08  HANDBOOK

ADDRESS __________________________________________________

_________________________________________ ZIP _____

Preferred PHONE NUMBER _______________________________

E-MAIL _________________________________________________________

Department Affiliation:________________________Self ______ Spouse___

Thank you for returning this form with your dues of $20.00 to our treasurer:

Sally Humphrey

PO Box 488

Ivy, VA 22945.     

Checks should be made to the University of Virginia Women’s Club

Please note you must be a member of the University of Virginia Women’s Club to receive our newsletter or to participate in our special interest groups.

YOU ARE ENCOURAGED TO INCLUDE A PHOTO OF YOURSELF FOR THE ANNUAL UVA WOMEN’S CLUB HANDBOOK/DIRECTORY (COPYRIGHT PHOTOS CAN NOT BE USED)