AAUW Tar Heel (NC) Branch Membership Form (New Members)
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This information will be used to submit the information on new members of the AAUW NC Tar Heel Branch. For more information on the branch, see
tarheel.aauwnc.org
.
Membership in the Tar Heel Branch makes a great gift. Simply fill our the form for the new member, and in the comments box at the end give us your contact information.
*
About you
About you
First Name:
Last Name:
Address line 1:
Address line 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address(es):
Phone Number(s):
Please enter your degree information. [If a student, please enter information on the degree you're working towards.]
Please enter your degree information. [If a student, please enter information on the degree you're working towards.]
Highest degree:
Institution:
Field:
Date:
If you are a current or recent member or student affiliate of AAUW, please enter your AAUW ID. [If your membership is current, you can use the
member ID lookup form
to get your ID. If your membership has lapsed, and you don't remember your ID, please give the year that you were last a member.]
If you are a current or recent member or student affiliate of AAUW, please enter your AAUW ID. [If your membership is current, you can use the
member ID lookup form
to get your ID. If your membership has lapsed, and you don't remember your ID, please give the year that you were last a member.]
Please select the option that applies to you to determine how much it will cost to join the Branch Without Borders.
Please select the option that applies to you to determine how much it will cost to join the Branch Without Borders.
$65 - New members and those renewing through this branch [Expiration date: 6/30/10]
$0 - Current student affiliates of AAUW with expiration date in 2010 or later (includes e-student affiliates)
$0 - Honorary (50 year) life members of AAUW
$0 - Representatives of College/University partners of AAUW for institutions in NC (see
list of institutions
)
$5 - Current member of another branch in North Carolina (dues paid for 09-10)
$16 - Current member of an AAUW branch outside of NC (dues paid for 09-10)
$16 - Member-at-large (any state) with expiration date in 2010 or later (changes 2010 expiration to 6/30/10)
$16 - College/university representative for an institution outside of NC (institution's dues paid for 09-10)
$17 - Students working on a first associate's or bachelor's degree. [Expiration date: 6/30/10]
$73 - Best value rate; Only available to new members [1/1/2010 - 6/30/2011]
Other or if you're not sure, please explain:
Would you like to be involved with the group that will be coordinating the branch?
Would you like to be involved with the group that will be coordinating the branch?
Yes
No
Maybe
Please use this space to tell us why you're interested in the branch, how you heard about the branch, or give us any other feedback. If this is a gift membership, please let us know how to contact you.
Please use this space to tell us why you're interested in the branch, how you heard about the branch, or give us any other feedback. If this is a gift membership, please let us know how to contact you.
Thanks! When you click "Done" you'll be transferred to a page with information about sending your payment (if required). If you have any questions, please contact info@tarheel.aauwnc.org.
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