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CCW Membership 2008–09

Thank you for joining the Cornell Club of Washington!

Your registration will be submitted after the first three pages of this form, but your membership will not be activated until your membership dues are paid on the fourth page. CCW accepts Visa, MasterCard, American Express, Discover Card, and e-checks as well as PayPal (see CCW Online Payments FAQ).

It should take less than five minutes to complete the registration process. If you encounter any technical problems, please contact the site administrators.

Member 1
Full name of the first member.
Indicate the Cornell college/school of undergraduate enrollment, if applicable.
Indicate any Cornell graduate degrees earned.
6-digit Cornell ID number, used on mailing label.
Include area code.
Include area code.
YesNo
Please add me to the CCW Member email distribution list.
Please send me the newsletter ONLY as an Adobe Acrobat file via emailed hyperlink (i.e., no hard copy mailed to my address).
Please DO NOT list my name in a membership directory.
I am interested in advertising opportunities for myself or my company.