Scribd Logo
Upload

Welcome to Scribd!

  • CAC Membership Application

    Uploaded by

    jomelbautista
    22 views1 page
    This document is a membership application for the Colleges Against Cancer club at California State Polytechnic University, Pomona for the 2013-2014 year. By paying a $15 fee, students can become members to support the American Cancer Society's efforts to eliminate cancer through awareness, education, advocacy and fundraising events like Relay for Life. Members receive a club t-shirt and opportunity to serve on the planning committee for Relay for Life.

    Original Description:

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a membership application for the Colleges Against Cancer club at California State Polytechnic University, Pomona for the 2013-2014 year. By paying a $15 fee, students can become members to support the American Cancer Society's efforts to eliminate cancer through awareness, education, advocacy and fundraising events like Relay for Life. Members receive a club t-shirt and opportunity to serve on the planning committee for Relay for Life.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    22 views1 page

    CAC Membership Application

    Uploaded by

    jomelbautista
    This document is a membership application for the Colleges Against Cancer club at California State Polytechnic University, Pomona for the 2013-2014 year. By paying a $15 fee, students can become members to support the American Cancer Society's efforts to eliminate cancer through awareness, education, advocacy and fundraising events like Relay for Life. Members receive a club t-shirt and opportunity to serve on the planning committee for Relay for Life.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    For Office Use Only Received by Treasurer (initials) _____ (date) _____ Payment Received

    (initials)

    _____ (date) _____

    California State Polytechnic University, Pomona

    Membership Application 2013-2014


    Student Membership Fee: $15.00 for year round membership Please attach cash to application Benefits of Membership: Work with the American Cancer Society to raise awareness, educate, advocate, and fundraise to eliminate cancer Support other American Cancer Society programs and events Opportunity to serve on Cal Poly Pomona Relay for Life planning committee Club T-Shirt Fight back against cancer! 1. Personal Information Last Name Date of Birth (mm/dd/yy) 2. Contact Information Cal Poly Pomona Email Address First Name Bronco Identification Number Middle Initial Class Standing (i.e. Freshman)

    Personal Email Address

    Phone Number (###) #######

    3.

    T-Shirt Size (Select One) S

    Date

    XL

    XXL

    4.

    I pledge to fight against cancer! Member Signature

    Questions about membership with Colleges Against Cancer of Cal Poly Pomona? Contact: Chonlawan Khaothiemsang (President) at cppcac.president@yahoo.com

    You might also like