Table Top Club
Application
!
"#$%&!
'(()%**&!
+,-.&! ! ! ! /-#-%&! ! ! ! 0,1!+2(%&!
+#3!4%!523-#5-!.26!7.!8#5%7229!2)!:4,--%);!!<=!*2>!1?%#*%!?,*-!.26)!6*%)3#$%@%$#,?A!
! 8#5%7229BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB!
! :4,--%)BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB!
!
C#D2)!8,%?(!2=!/-6(.!#-!/5E22?5)#=-!+2??%F%&!
+)%(,-!G26)*!-E,*!/%$%*-%)&!
'3-,5,1#-%(!:,$%!H%$#,3,3F!#-!/5E22?5)#=-&!
I)%=%))%(!:#7?%-21!J#$%!K+E%59!#??!-E# -!#1 1?.L !
!!!+#)(*!K/-#3(#)(!:.1%*L! +E%59%)*! ! +E%**! ! :)#(,3F!+#)(!J#$%*!
!!!H2?%M1?#.,3F!J#$%!KN#),26*L! ! OPO!K'3.!Q(,-,23L! J6)1*!K'3.!Q(,-,23L!
!!!R2#)(!J#$%*!K/,$1?%L!! R2#)(!J#$%*!K+2$1?%SL! C,3,#-6)%*!KN#),26*L! !
T-E%)!KI?%#*%!/1%5,=.L&!
UE#-!QV%3-*!426?(!.26!7%!,3-%)%*-%(!,3;!
!!!+#)(!J#$%!:26)3#$%3-*! !!!:)#(,3F!+#)(!J#$%!:26)3#$%3-*! !!!H2?%M1?#.,3F!J#$%!J)261*!!
!
!!!+E%**!:26)3#$%3-*! !!!R2#)(!J#$%!O#.*!
/,F3#-6)%&! ! ! ! ! ! ! ! ! O#-%&!
Please&return&completed&form&to&the&student&activities&office,&located&in&the&Lower&Waterman&Campus&Cen te r&
<-!,*!-E%!12?,5.!2=!/ 5 E 22 ?5 )# =-!+ 2 ??% F% !-E # -!3 2 !1 %) *2 3 !*E # ??>!2 3 !-E %!7 # *,* !2 =!)# 5% >!52 ?2 )>!3 # -,2 3 #?!2 ) ,F,3 >!F %3 ( % )>!# F% >!$ # ), -#?!*-#-6 *>!
5)%%(!2)!E#3(,5#1!7%!%S5?6(%(!=)2$!1#)-,5,1#-,3F!,3>!7%!(%3,%(!7%3%=,-*!2=>!2)!7%!*67D%5-%(!-!(,*5),$,3#-,23!(6),3F!#3.!1)2F)#$!
2)!#5-,V,-.!2)!,3!%$1?2.$%3-A!
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome