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Cornell Club of Greater Philadelphia

Become a Member

Please complete the following form to join us. You can pay for your dues from this page as well.

Primary Member

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New Member Renewing Member

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Cornell ID number:

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Home Phone:

Email:

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Additional Member

Full Name:
New Member Renewing Member

School:

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Cornell ID number:
Leave blank if same as primary:

Home Address:

Address Line 2:

City:

 State: Zip:

Home Phone:

Email:

Employer Name:

Business Address:

Address Line 2:

City:

 State: Zip:

Work Phone:
Check if information has changed
Check if you do NOT want to be included in any print or online club membership directory
Activities
I am interested in assisting the club with the following activities:
Scholarship
Community Service
Event Planning
Membership & Recruitment
Professional Job Network
Admissions Support (if not already a CAAAN member, call Marcia Epstein, 610-896-5441.)
Select one of the following memberships:
Class of 2009 & full time grad students:
Individual member: $15
Recent Grads (2005-2008), Parents, Retired Alumni, & Friends:
Individual: $20
Couple: $25
All other Alumni:
Individual: $30
Couple: $40
Lifetime Membership:
Individual: $300
Couple: $400
Joint Membership: Cornell Club of Greater Philadelphia and Cornell Club of Delaware:
Individual: $45
Couple: $55
Patron:
Patron: $75 or more
You can pay your dues via PayPal on the next page. Please remember the membership you selected.
I agree to pay my dues online via PayPal on the next page.

Thank you for signing up. We're glad you've joined us!