CCWW Membership Signup

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This form will allow you to create or renew a Cornell Club of Western Washington membership from September 2021 to September 2022.

This is step 1 of 2 steps:
  1. Enter your relevant information.
  2. Click Send Form and receive Confirmation.

No membership dues are being collected for 2021 – 2022.

Membership Information

NOTE: The fields in RED are required!

Individual Membership Information

What's this? Need help with Net Id?
Call Donna Carl at 307.255.3517

2nd Member Information (if joining as a couple)

Contact Information (Home)

Contact Information (Business)

Survey: Tell Us What You Think:

[Select multiple choice by holding the ctrl-key while selecting.]

2. What activities are you interested in?

3. What time do you prefer events?

4. Which locations do you prefer?

5. Do you want to be more involved?