2011 2012 DC Cal Membership Form final 1 by iu85Q5Yw

VIEWS: 0 PAGES: 1

									            UC BERKELEY ALUMNI CLUB OF WASHINGTON DC
                  2011-2012 CLUB MEMBERSHIP FORM
            Note: Club memberships follow the Berkeley academic calendar (September 1 st - August 31st).

Thank you joining the DC Cal Alumni Club! Your membership will allow you entry into special club
member-only events, discounts for major club events, access to special job listings, and also helps us run a
great club for you!
                                       PERSONAL INFORMATION
The club will not share your personal information with anyone outside of the Cal community.
   Please DO NOT list my name in a directory of local alumni.

FIRST NAME :                                 LAST NAME :
EMAIL:                                       PHONE:

ADDRESS:

CLASS YEAR (S):                           DEGREE/MAJOR(S):

EMPLOYER:

OCCUPATION & TITLE:

                                        INTERESTS & ACTIVITIES
Please list activities that you were involved with at Cal, why you joined the club, activities/programs you
would like the club to do, and/or things you’d like to work on (please use the back of this sheet if necessary):
______________________________________________________________________________
______________________________________________________________________________

                                                MEMBERSHIP
DUES:                 Annual Membership Dues:                                    $15
                      Additional Contribution to the Club:                       $_________

Checks should be made payable to:            Cal Alumni Club of Washington, D.C.
And mailed to:                               PO Box 35584 Washington, DC 20033
                                             (Include “Club Membership” in check memo line)

QUESTIONS? Email our administrative asst. at dccalalumni@yahoo.com or Membership Chair
Kathy Molina at dccalmembership@gmail.com with “Membership Question” in the subject line.
                                       GO BEARS!




     ONLINE: www.dccalalumni.org                   facebook.com/CalAlumniDC                   @CalAlumniDC

								
To top