University of Delaware Women's Club Membership Application/Renewal Form 2013/14
Name: E-mail Address:
Street:
City/State/Zip Code:
Telephone:Home:             Work/Cell:
Dues($15.00)               Scholarship Fund Donation:               Please indicate if you are a new member to UDWC
UD Connection/Department   (  [   ] Self   [   ] Spouse)
Are you interested in volunteering for any of the following:
Scholarship Fundraiser___ Women of the Year___ Newsletter___ Other___

Make check payable to UDWC.  
Mail form and check to Flo Waibel,  41 The Horseshoe, Newark, DE 19711.