CCW Membership 2010–11

Thank you for joining the Cornell Club of Washington! It should take less than five minutes to complete the registration and payment process.

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).

Be sure to download the current issue of the CCW newsletter. You will receive future issues via snail mail or email notification, depending on the preferences you set below.

Member 1
Full name of the first member.
Indicate the Cornell college/school of undergraduate enrollment, if applicable.
Indicate any Cornell graduate degrees earned.
7-digit Cornell ID number, found 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 electronically
Please DO NOT list my name in a membership directory.
I am interested in advertising opportunities for myself or my company.

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