Membership Application - Women's Club at UCF

Name*

First Last

Spouse's Name

First Last

UCF Affiliation (Check all that apply)

I work at UCF

Alumna, friend of UCF, etc.

Please tell us the position you hold at UCF.

Please elaborate your UCF affiliation

For example: spouse, degree holder, child enrolled, etc.

Contact Information

Work Phone

Cell Phone

Home Phone

Birthdate

Member Since (Year)

What year did you first become a member? New members please fill in this year.

Email*

Enter Email Confirm Email

Mailing Address*

Street Address Address Line 2 City State Zip Code

Contact Preference

Your name and contact information will be published in our directory and you will receive our newsletter and announcements via email. Should you wish to make other arrangements, contact Karen Manglardi at 321-438-7008 or via email at kmanglardi@yahoo.com.

Membership Dues

Membership dues are $45.00 annually. Make a check payable to Women's Club at UCF, Inc. and mail this form with your check to our treasurer
Cathy Davis
3038 Randleman Ct
Oviedo, FL 32765

You may also pay online by returning to membership, clicking on "membership dues" and following those directions where you will have the option of paying dues with a credit card via PayPal

Scholarship Fund

Please consider adding a donation to the scholarship fund by making a separate check payable to UCF Foundation. Indicate either First Ladies Undergraduate Spendable Account or Shelia B. Somerville Graduate Spendable Account. Mail to the address above.

Interest Groups

You may join as many interest groups as you wish. Check all that interest you and the chair person will contact you with information about meeting dates, times, etc.

Interest Groups

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Name

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