University of Washington
Name: ______________________________________________________________________
( Male ( Female
Birthday (MM/DD/YYYY):______________________________________________________
Phone #: (____________)_______________________________________________________
Current Address: _____________________________________________________________
City/State/Zip: _______________________________________________________________
E-mail: ______________________________________________________________________
Major or intended major: _____________________________________________________
Career Interest:
( Accounting ( Entrepreneurship ( Finance ( Retail Management
( Marketing ( Management ( Sales ( International Business
( Other______________________________________________________________________
$25 membership fee
Please make checks payable to Association of Black Business Students
Method of payment? ( Check ( Cash
Association of Black Business Students
University of Washington Box 353200
Seattle, WA 98195-3200
uwabbs@u.washington.edu
-----------------------
For official use only
Date received: _______________________________________
Fee paid: ( Yes ( No
Date entered: ________________________________________
Association of Black Business Students
University of Washington
Founded in 1970
Recruiting, organizing, assisting and promoting the interest and success of Black students in business related careers
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