Membership Information

2018-2019 BRANCH DUES FORM
Dues Year:  July 1, 2018 to June 30, 2019

 

Be part of a professional organization dedicated to making positive societal change for women and girls

 

MEMBER INFORMATION:  Please print clearly or type and fill in all spaces.

Date:                                                                                                                          

Name:                                                                                                                        

Street Address:                                                                                                          

City/State/Zip:                                                                                                            

Phone (h)                                            (w)                                                                  

E-Mail:                                                                                                            

Fax:                                                                                                                

Highest degree earned:                                                                                      Year:                      

College/University:                                                                                              State:                      

Current Occupation:                                                                                                                          

Annual Regular membership DUES for National Association, State, and BG Branch:  $80

Others are Grad Student ($49.81), Student Affiliate ($20), Life (MBL) ($21), Dual ($10)

 

Amount of dues:             $                   

 

Amount donated for each:

             Local Scholarship

            Tech Trek Camp

Total Amount Donated:  $                    

Total Amount of Check:     $                

Make check payable to: AAUW BG Branch

Mail this form and your check to:  

 

Linda Koehler, Treasurer

562 S. Ridge Drive

Perrysburg, OH 43551

 

NOTE:    A portion of your AAUW dues may be deductible as a charitable contribution within the limits of IRS tax code, i.e. $56.  Some members may be able to deduct dues as ordinary and necessary business expenses.