last rev. 9/22/05

TEMECULA
VALLEY

 
       
       
 

MEMBERSHIP APPLICATION

 
     
 


Please print out and send to the address below. 
___YES! I want to join AAUW’s powerful network.

(Please print)

Name ____________________________________

Spouse's name______________________________

Address __________________________________

City/State/Zip ______________________________

Phone (H) ________________ (W)_____________

E-mail ____________________Fax____________

College/Univ ______________________________

State ________________________Year________

Degree __________________________________

Birthdate - Month _________ Day _____________


Referred by Member________________________________________________
Dues for the 2005-06 year were due by July 1.

                                         --------(This info for this branch only.)-------

Branch Member

Student Affiliate

 

$41
$16
$18

$75

National 
State
Branch

TOTAL

$17
gratis
gratis

$17


Dues are payable by check. Please print this form and mail it and your check, payable to TV AAUW in the amount of $75 and mail to address below.  


Temecula Valley AAUW
PO Box 2682
Temecula, CA 92593