AMSTERDAM-GLOVERSVILLE-JOHNSTOWN AAUW
2010-2011 Membership Renewal Form
Name: ________________________________________________
*****PLEASE NOTE ANY CHANGES AND COMPLETE THE PAGE BELOW*****
Address: ________________________________________________
________________________________________________
Phone: ________________________________________________
Institution(s), Degree(s), and year(s) of graduation:
________________________________________________
Email Address: ________________________________________________
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Please Check One of the Following:
_______ I have enclosed $_______* for dues before June 1, 2010. *($ 64)
_______I have enclosed $_______ ** dues after June 1, 2010. **($70)
(*Subject to revision re AAUW National and State assessments.)
_______ I have enclosed $_______* for dues as a Life Member.
(*To become a life member one pays 20 times the current national dues plus the current
yearly state and local dues yearly)
________ I am resigning membership in AAUW.
My reason(s) is/are as follows:
____Family obligations ____Moving out of the area ____Dues amount ____Meeting topics
Other (please specify):_________________________________________________________
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If you are interested in serving on a committee, please indicate by putting an X by the
name of that committee.
Committee descriptions are available from membership chairperson.
____Program ____Community Outreach ____Finance
____Membership ____Historical
____Nominating ____Cultural ____Public Policy ____International Issues
____Diversity
____ Educational Equity/Scholarship ____LAF - Legal Advocacy Fund ____
Sister to Sister
***Make your check payable to AAUW and send this form along with your check to:
Barb Nigro
484 Co. Hwy. 122
Gloversville, NY 12078
Thank you in advance for your prompt attention to this matter.