New Member Registration Form

2025-2026 Registration Form - NEW MEMBER

* Required Fields

* Indicates required field

Name *

First

Last

Street Address *

Suite *

Post Office Box *

Town *

Postal Code *

Email *

Preferred Phone Number *

Secondary Phone Number *

Membership Dues and Optional Scholarship Donation

Annual Membership Fee $100 supports the goals of cfuw - the pursuit of knowledge, the promotion of education, the improvement of the status of women and human rights; in a spirit of friendship and cooperation.

Optional Donation to Support Bursaries - cfuw Haliburton Highlands provides support to young women of our community through post-secondary bursary program.

In addition to Annual Membership Dues of $100, I would like to make a donation to support the bursary program. Enter your donation amount below. *

Payment of Membership Fees & Optional Scholarship Donation

E-Transfer: Follow the instructions on your bank’s website and e-transfer to [email protected]. Security word is registration (all lower case)

Cheque: Make cheque payable to “cfuw Haliburton Highlands”. Mail cheque to cfuw Haliburton Highlands, c/o Jacquie Halupka,
1046 Bonnyville Road, Dysart et al, ON K0M 1S0

cfuw Haliburton Highlands Disclaimer

cfuw is committed to respecting and safeguarding the privacy of its members especially all personal information that is collected in the process of operating our Club which includes maintaining the “members only” password protected area of our website. The “members 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 number(s), email address and photos. Information collected cannot be used by the organization or any of its members for commercial purposes.

By submitting this registration form, you are agreeing to have your contact information included in our online membership directory, consenting to receive cfuw information via email and acknowledging the right of cfuw Haliburton Highlands to use your image in photographs and videos for use in any editorial or promotional material produced and published by cfuw Haliburton Highlands.

Submit

2025-2026 Registration Form - NEW MEMBER ​

2025-2026 Registration Form - NEW MEMBER