AAUW Membership Form – New and Renewing Members

It’s time to submit your membership in AAUW for next year. Because of our accounting schedule, it is important to get our membership dues in by July 1. In addition, you will then be assured that your name appears in our new directory.

Name: _______________________________________ Home Phone: _________________________________

Address: _______________________________________ Work Phone: _________________________________

Email: _________________________________

Please check one:  New Member  Renewal

Please check one:  Regular Member $78  Student Affiliate $25  Life Member $29 (Initial payment of 20x$76 = $1,520)  Fifty-Year Honor:  Fifty-year members are exempt from payment of Association, state and branch dues. Membership Dues: $_____________ Elmhurst AAUW Donation: $_____________

Please list all degrees:

Undergraduate College/University ____________________________________________________________________

Degree _______________________________ Year received _______

Graduate School _________________________________________________________________________________

Degree _______________________________ Year received _______

Graduate School _________________________________________________________________________________

Degree _______________________________ Year received _______

Potential New Members

Name: _______________________________________ Phone: _________________________________

Address: _______________________________________

Name: _______________________________________ Phone: _________________________________

Address: _______________________________________

Member Ideas and Information

Program ideas I have are: __________________________________________________________________________

________________________________________________________________________________________________

Talents, Skills and Interests that I can share with AAUW are: _______________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Committees and Work Areas in which I’d like to participate are _______________________________________________________

________________________________________________________________________________________________

Please send checks made payable to AAUW-Elmhurst and this form to AAUW-Elmhurst,

376 Hill Ave, Elmhurst, IL 60126 or bring them to the next Branch meeting.