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

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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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