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                        UNCC ITE Student Chapter Online Application


        Name*                              

        Email Address*                

        Street Address                 
       
       City                                        
   
       State                                           

       Zipcode                             

        Phone # (704-xxx-xxxx)  

        Major*                             

        Classification*                 


                                                

         -Categories with a star mark are required
         -Dues are $7 per semester and $10 for an entire academic year
         -Contact treasurer for submitting the application fee      

       












Page last modified: Oct 7, 2009
Cameron Research Centre, UNC Charlotte, Charlotte, NC 28223.