The Catholic Graduates Club of Greater Hartford, Inc.
Post Office Box 1501
Hartford, Connecticut  06144
 

Name:____________________________________ Birth date:_________________         

Address:____________________________________________________________

City: _____________________________________St:______ Zip Code:_________

Telephone:  (Home)_____________________ (Business)____________________

Occupation:_________________________________________________________

Parish & Location:  ___________________________________________________

Undergraduate and/or graduate college or university:

____________________________________________________________________

Degree (s): __________________________________________________________

Specialization:  ______________________________________________________

Where did you hear about the Catholic Graduates Club? ____________________

____________________________________________________________________

Please list your favorite activities, interests, and any other additional ones you might
want to participate in:__________________________________________________

____________________________________________________________________

The dues are $25for singles and married couples and they must accompany application. 
Please make check payable to The Catholic Graduates Club of Greater Hartford and mail
with the application to:

Membership Chairperson
The Catholic Graduates Club of Greater Hartford
P. O. Box 1501
Hartford, CT  06144