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Membership Application Form
Membership Info
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Type
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Description
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Fee (in SGD)
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New Graduate
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Those who have graduated for <= 2 years
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Free
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Recent Graduate
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Those who have graduated for 3 - 6 years
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$10
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Alumni
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Those who have graduated for > 6 years
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$20
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Life Member
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Lifetime membership
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$500
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Associate Member
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Friends of Cornell Club
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$25
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Membership Type
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Membership Start Date
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05/12/2008
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Membership End Date
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05/12/2009
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Personal Info
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Title
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Last Name
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First Name
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Gender
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Nationality
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Home Contact Details
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Home Address
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Home Postal Code
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Home Phone Number
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Office Contact Details |
Designation
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Company Name
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Office Address
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Office Postal Code
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Office Phone Number
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Fax Number
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Other Details |
Mobile Phone Number
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Class Year
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Degrees
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Account Info
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Payment Info
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Payment Mode
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Total Amount
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$20
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Please make the cheque payable to Cornell Club (Singapore) and send it to:
Shawn Tripp
45 Tampines Avenue 1, #05-11
Singapore 529763
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Cornell Club of Singapore All Rights Reserved
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