SULYP

SULYP Membership Registration Part 1

Membership Year: 2010-2011

Part 1: Complete this registration form below. If submitting credit card payment, you may skip part 2.

Part 2:
Mail $50.00 check to:
ULMS
Attention: SULYP
105 14th Avenue
Seattle, WA 98122

** Make check payable to ULMS and include SULYP membership fee in memo line ***

Your membership will remain "PENDING" until payment is received. Once received we will contact you with member-only info, including an invitation to join our Yahoo list serve. If you have questions, email membership@sulyp.org.

Name * Title First Last Suffix
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number * ### - ### - ####
Company *
Job Title *
Birth Date * MM / DD / YYYY
Birthdate is not published.
Disclosure Statement

SULYP maintains a membership database that may be shared with companies. If you do not want your information released beyond SULYP, Urban League of Metropolitan Seattle (ULMS) or National Urban League of Young Professionals, please check the Nondisclosure box below.
Nondisclousure
Do not disclose personal information
Interests and Other Community Organizations Affliations
Committee Options

As a member of SULYP, your active participation is essential to the success of our organization. Please check the committee(s) you would like to serve.
Standing Committees
Finance (Budget) Marketing (Publicity) Membership Fundraising Policies and Procedures
Programming Committees
Civic Engagement and Leadership Empowerment Civil Rights and Racial Justice Economic Empowerment Education and Youth Empowerment Health and Quality of Life Empowerment
SULYP Office/Position

List your current year leadership status (ie president, committee chair etc.)
To help us serve you better, what do you expect to obtain from your involvement in SULYP?
What qualities and attributes will you bring to SULYP?
Status
New Member Renewal / Update
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SULYP

Disclosure Statement

Committee Options

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