Canadian Women’s Club of Atlanta 


Membership Form 


Returning members, please enter only your name and any changes. 

New members, please complete all sections. 



Mailing Address _____________________________________________________ 

City__________________________State____________ Zip Code_____________ 


E-mail address______________________________________________________ 

Name of Spouse_____________________________________________________ 

Where in Canada have you lived (start with last place)? __________________________ 

Year you came to the US ________ 

Year you joined the Canadian Women’s Club of Atlanta (CWCA) __________________ 

Languages spoken: English _____ French _____ Other ________________________ 

I will accept business solicitation from other Club members: YES ____ NO____ 


Birthday: Month/Day ____/____ Wedding Anniversary: Month/Day ____/____ 


I would like to assist CWCA by: 

A) Hosting a meeting at my home YES____ NO_____ 

B) Serving on the Executive Board YES____ NO_____ 

C) Offering suggestions for meetings:________________________________ __________________________________________________________________ 


New Members – How did you hear about CWCA? 


Membership dues: (Must be returned by September 21 to be included in the membership directory) 


Regular Member (in the greater Atlanta area, including Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, 

Fayette, Forsyth, Fulton, Gwinnett, Henry, Paulding, Rockdale counties) $20 

Member at Large (outside greater Atlanta area) $10 


Please return with cheque payable to: 

Canadian Women’s Club of Atlanta 

c/o Membership Chairperson 

640 Parkside Village Way NW 

Marietta, GA 30060 


Note: This information will not be shared with anyone outside the Canadian Women’s Club