NC Branch Without Borders: Charter Member Form

General Information

This information will be used to submit the information on the charter members of the AAUW NC Branch Without Borders. For more information on the branch, see bwob.aauwnc.org.

Question Title

* About you

First Name: *

Last Name: *

Address line 1: *

Address line 2:

City/Town: *

State: *

ZIP/Postal Code: *

Email Address(es):

Phone Number(s):

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* Please enter your degree information. [If a student, please enter information on the degree you're working towards.]

Highest degree:

Institution:

Field:

Date:

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* 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.]

Question Title

* Please select the first option that applies to you to determine how much it will cost to join the Branch Without Borders.

$0 - Current student affiliates of AAUW with expiration date in 2009 or later

$0 - Honorary (50 year) life members of AAUW

$0 - Representatives of College/University partners of AAUW for institutions in NC (see list of institutions)

$0 - Current member of a branch in North Carolina (dues paid for 08-09)

$11 - Current member of an AAUW branch outside of NC (dues paid for 08-09)

$11 - Member-at-large (any state) with expiration date in 2009 or later

$11 - College/university representative for an institution outside of NC (institution's dues paid for 08-09)

$60 - Join/renew your AAUW membership as a member of the NC branch without borders. [Expiration date: 6/30/09]

$17 - Join/renew as an AAUW student affiliate of the NC branch without borders. [Expiration date: 6/30/09]

Other or if you're not sure, please explain:

Question Title

* As a charter member, you will have a chance to help name this new branch. Please give us your reaction to the following names. (We'll be looking for a name where all charter members are at least neutral -- "so-so", "good," or "great".)

	No way!	Poor	So-So	Good	Great!
Without Borders Branch	Without Borders Branch No way!	Without Borders Branch Poor	Without Borders Branch So-So	Without Borders Branch Good	Without Borders Branch Great!
Longleaf Pine Branch	Longleaf Pine Branch No way!	Longleaf Pine Branch Poor	Longleaf Pine Branch So-So	Longleaf Pine Branch Good	Longleaf Pine Branch Great!
Tar Heel Branch	Tar Heel Branch No way!	Tar Heel Branch Poor	Tar Heel Branch So-So	Tar Heel Branch Good	Tar Heel Branch Great!
Mountains to Sea Branch	Mountains to Sea Branch No way!	Mountains to Sea Branch Poor	Mountains to Sea Branch So-So	Mountains to Sea Branch Good	Mountains to Sea Branch Great!

Other suggestions:

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* Would you like to be involved with the group that will be coordinating the branch?

Yes

Maybe

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* Please use this space to tell us why you're interested in the branch or give us any other feedback.

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@bwob.aauwnc.org.