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MEMBERSHIP FORM

Please mail to

University Section Club, Inc.

Tang Center (Attention: Traudel Prussin )

2222 Bancroft Way

Berkeley, CA 94720-4300.

Name _________________________________

Address _________________________________

________________________________________

Telephone ________________________________

E-mail __________________________________

Spouse’s or Partner’s
Name ___________________________________

Dept. or Affiliation

Yes:   ____ (fill in) __________________________

None: ____ I am an Associate Member

Returning member ______ New member________
Visitor ______ here until month/year ___________

Please fill out completely. The Treasurer forwards this envelope to the Directory Chair.

 

MAKE CHECK PAYABLE TO UNIVERSITY SECTION CLUB, INC.

Our business year runs from July 1 through June 30.

YOU ARE CORDIALLY INVITED TO JOIN THE UNIVERSITY SECTION CLUB, INC. Members may attend our Club-Wide Events, sign-up for individual Sections, volunteer and support the International Student & Scholar Committee or University Village, contribute to Grants for deserving students and/or donate to the S.O.S. (Services Offered Students) Fund, Elberg Emergency Fund or the General Fund. These donations will be acknowledged. All members receive our newsletter, The Breeze. Newcomers will be gladly welcomed at a special table at our Fall Garden Reception.

Updated: August 3, 2008

Tax deductible           

dues

Couples $40.00       $_________

Individuals $30.00   $_________

I would like to make

atax-deductible

donation to:

Student Grants         $_________

International Student

& Scholar

Committee               $_________

S.O.S.
(Services Offered

Students)                  $_________

Elberg Emergency

Fund                         $_________

General Fund            $_________

Tax Deductible Total $_________

 

________________________

 

Please mail me a Bulletin

(Roster with phone numbers)

____Yes          ____No

2222 Bancroft Way, Berkeley, CA 94720-4300
Email Address: usectionclub@berkeley.edu
                                                              University Section Club, Inc.
A Non-Profit Organization in the State of California