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St. Lawernce University Club Registration Form

Name of Club/Organization
   
Purpose of Club (please provide a short description which may be included in publications -- only necessary if you wish to change your description or if this is a new club)
   
Name of Primary Contact Person
               
Class Year CMR Phone E-mail
     
We publish a Student Organization Directory which will include your name and email address as contact information for this organization.    
Would you like your phone number available as well? Yes No
     
Does your club have an e-mail address? Yes No  
If yes, please give address
Does your club have a web page? Yes No  
If yes, please give address
Is this club a sport/recreation club? Yes No  
Name of Faculty/Staff Advisor
   
MEMBER NAME
CLASS YEAR
TITLE (i.e. Pres., VP, etc.)
President
Vice President
Secretary
Treasurer