Joint Membership

AMOUNT	TYPE
$45.00	Cornell Club of Atlanta
$50.00	Cornell Club of Washington
$60.00	Cornell Club of Washington Couple

Joint Membership Form:
Joint Member Type:	Joint Cornell Club of Atlanta $45.00 Joint Cornell Club of Washington $50.00 Joint Cornell Club of Washington Couple $60.00
Name:	* required
School/Year:	* required
Cornell ID # :  (Usually on the top left of your Cornell mailing label.)
Mailing address:
Business Name:
Occupation/Title:
Business address:
Home Phone:
Work Phone:
FAX:
Email Address:
Spouse's Name:
Spouse's School/Year and Cornell ID # : (If Cornell)
Activities:
I am would like to join the following National Committee(s):	Membership Committee Programming Committee Scholarship & Fundraising Committee Campus & Student Relations Committee Secondary/Graduate Schools Committee Communications Committee
I would like to join the following Regional Committee:	Atlanta Chicago DC, Maryland, Virginia Massachusetts New York Philadelphia Southern California
Events I would like to assist with:
Events I would like to see: