Membership Form – IWC Delaware

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For renewing members, please check if your contact information has changedNo ChangeChanged

Email *

First Name *

Middle Name

Last Name *

Country of Origin

Home Phone

Cell Phone

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Birth Date

Husband / Significant Other's Name

Talent or skill you would like to share with IWC

Waiver of LiabilityOn this day, intending to legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless the International Women’s Club of Delaware (hereinafter referred to as the “Club”) and any of its members and/or venues where meetings or events are held representing or related to the “Club.” This release is for any and all liability for personal injuries (including death) and property losses or damage occasioned by, or in connection with any activity or accommodations for any event conducted by the “Club.” The undersigned further agrees to abide by all the rules and regulations promulgated by the “Club.”

All members are required to volunteer at the “welcome desk” at least two times a year. Duties are listed in the Directory/Handbook. Please sign up for the “welcome desk” when you register.

Membership Fee *

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Membership Fee

Donation

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Donations to the IWC will be placed in the Diana Leitch Legacy Fund and will be used to provide monetary contributions to non-profit organizations supporting females in our community.

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