New Member Registration Form

CFUW-HH New Member Registration Form

* Required Fields

* Indicates required field

Name *

First

Last

Street Address *

Suite *

Post Office Box *

Town *

Postal Code *

Email *

Preferred Phone Number *

Secondary Phone Number *

Privacy Consent

CFUW-HH is committed to respecting and safeguarding the privacy of its members especially any and all personal information and images (photographs and videos) that are collected in the process of operating our Club which includes maintaining the “members only” password protected area of our website. The “membership only” area of the website contains our membership list, interest group photos/write-ups, member profiles and newsletters. Personal information is defined here as: a member’s name, address, telephone/cell number(s), e-mail address and image. Information collected cannot be used by the organization or any of its members for commercial purposes.

Both consent statements must be completed before this form may be submitted.

My personal contact information may be included in the “membership only” password protected area of our website. *

Yes No

My image (photo or video) may be used in CFUW-HH publications and/or on the CFUW-HH website. *

Yes No

Note: This consent form will remain in effect unless changed by the member. Members are responsible to notify CFUWW-HH of any change in their privacy consents by resubmitting this application at any time.

Submit