EmailMe Form - CFUW Renewal Form

Full Name *
First Last
Email *
Membership Type *
Regular $100
Senior (65+ years) $95
Student $50
Please note that a $3 electronic convenience fee will be added for online payment. Payment can be made securely via PayPal via using any major credit card or PayPal account.
Newsletters *
Email
Mail (+ $15/year)
Privacy Legislation Consent-Member Database & Directory *
Yes
No
Information collected on this form will be used by CFUW St Catharines to create a Member database. Some of the information will be provided in aggregate format to CFUW National. The information will be used to publish a Member Directory in various formats including: PDF file emailed to members, printed form available to members, and file download from the Members-only login section of the CFUW St Catharines website. The information will not be sold, loaned or provided in any way to any other individual or organization. The Directory is for the use of Club members with respect to their Club activities. It is not to be used for other purposes such as marketing. Please indicate whether you wish to have your personal information included in the Member Directory.
Privacy Legislation Consent - Photos & Names *
Yes
No
CFUW St Catharines publishes a monthly newsletter which is distributed to members and posted on our website, as well as various Club-related materials for member-use only. In addition, we maintain an informative website which includes a public-access area. We also have Facebook pages for CFUW St Catharines and CFUW House Tour which have public access. These may include photos of members taken at CFUW meetings or events. These photos may or may not include your name. Please indicate whether you wish to have your name or photo included in the newsletter, Facebook or website.
Image Verification

Please enter the text from the image:
[Refresh Image] [What's This?]