Spokane College Women's Association     P. O. Box 28141   Spokane, WA   99228 

Reservation Message Line:  509-368-0695            scwa.information@gmail.com



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Spokane College Women's Association

Registration Form

Date: ______________________

Please sign me up for membership in Spokane College Women's Association

_____ Member (Women)  $40             _____ Associate (Men)  $30


Miss/Mrs./Mr.  _________________________________     ________________________________________

                                                     Last Name                                                                                        First Name

 _____________________     __________________________   Home Phone _________________________

              Nickname                                               Husband's Name

Address ___________________________________________  Office Phone _________________________

City ________________________   State _______  Zip ________  E-mail _____________________________________________

College Attended __________________  # of years completed _____  From _____ to _____ Degree   Y    N

College Attended __________________  # of years completed _____  From _____ to _____ Degree   Y    N

Career Experience _______________________________________________________________________

_______________________________________________________________________________________

Sponsor Name(s) ________________________________________________________________________

(Sponsors must be full members in good standing. Bylaws require a second sponsor when membership is based on career experience.)

How did you hear about SCWA? ______________________________________________________________________________

Would you like to volunteer?  How would you like to help?  _________________________________________________________

___________________________________________________________________________________________

Speakers or topics you are interested in  ________________________________________________________________________

Are you interested in or can you suggest a business or organization to sponsor SCWA as an advertiser  ______________________________________________________________________________________

PLEASE SEND COMPLETED FORM WITH YOUR MEMBERSHIP DUES TO:

SCWA      P.O. BOX 28141     SPOKANE, WA    99228