Waugh Watkins Scholarship Fund Club Signup Form Name * First Name Last Name Mailing Address * What is your mailing address? Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number * What is your phone number? (###) ### #### Email Address What is your email address? Contact Method * In which manner would you prefer to be contacted? Email Phone Annual Contribution * How much are your willing to commit to annually? $50 $100 $500 Other (enter below)* Enter Amount: If you selected other above, please enter that amount here. Comments/Concerns Any questions comments or concerns? Thank you!