SCCW 1999-2000 Dues Form

Please PRINT and return form with payment to:

Smith College Club of Washington
1001 Connecticut Avenue, NW #412, Washington, DC 20036

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Name:
Daytime phone:
Evening phone:
Fax:
Email:
Class:
Degree(s):
Career:
Employer:
Address:
City:
State:
Zip:
May we share this data with other alumnae?:
Can you provide an internship?:
Can you provide free or affordable housing for an intern?:

Join/Renew today! Dues are tax deductible. Please make check payable to Smith Club of Washington, Fiscal Year July 1, 1999-June 30, 2000

_____Sustaining -- $100
_____Contributing -- $60
_____Regular -- $40
_____Associate* -- $20

*ONLY members of classes '95-'99, '49 and lower OR parents of current students.