Membership Application Form

Title*

Name of Person/Organization*

Street Address*

City/State/Zip*

Home Telephone*

Business Telephone

Email Address*

All but Friends, complete degree information.

College/University

State

Degree

Year

How did you hear about us?*

If from a member, enter member's name:

Choose your membership category below.*

Regular Member - Dues: $75.00 annually
Dues include the following:
$49 - National Dues (Receive Outlook Magazine) - $46 is tax deductible
$12 - State Dues (Receive FloriVision Publication)
$14 - Weston Branch Dues (Participate in branch activities)
Student Affiliate - Dues: $31.00 annually for undergraduate students
Dues include the following:
$17 - National Dues - $16 is tax deductible
$14 - Weston Branch Dues
Dual Branch Member - Dues: $14.00 annually (with proof of dues paid to National and a State)
Friend of AAUW Weston Branch - Dues: $20.00 annually; give more, if you can
Life Friend of AAUW Weston Branch - Dues: $250 one-time dues

Can AAUW-National/State/Local use your photographic image for promotional notices?*