Woman's Club Membership Form

Your Information

Prefix

First Name*

Preferred First

Last Name*

Suffix

Birthdate

Why do you ask for birthdate? Because your birthday is important to us!

Your date of birth is one of the data points that we use to make sure your registration matches to your record in our database.

I am a(n)*
(Select all that apply)

Class Year*

Last Name at Luther (if different from above)

Contact Information

Email Address*

Cell Phone

Home Phone

Mailing Address*

Country

Street

City

Region

Postal Code

Membership Information

Two types of membership are available:

Dues-paying ($35 per year) memberships: in lieu of baking treats for students, some members opt to join by paying dues each year.
Baking memberships: this membership is open to those who opt to contribute to our fundraising efforts by donating time and ingredients toward our treat program aimed at Luther students.

Membership Type*

Dues Membership

Baking Membership

Membership Total

In addition to my membership dues, I'd like to pre-pay for meeting refreshments ($6/meeting):

Meeting Pre-Payment #

Pre-Payment Total (Hidden)

Total Due (Hidden)

Payment Information

Amount Due
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Amount Due

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