Membership Application

New, Renewing or Dual Membership for 2008-09

Name: _____________________________________________  Date: __________

Address: ___________________________________________________________

City: _____________________________ State: ________  Zip: ______________

Email Address: _____________________________________________________

Telephone: (daytime) ________________________ (evening) ________________

Please check the appropriate membership category

* New Member or Primary Branch Member:

($49 for National + $8 for State + $20 for Branch)                     $77.00

* Life Member or other State Member: ($8 for WA State + $20 for Branch)     $28.00

* Member at Large (MAL): ($8 for State + $20 for Branch)                              $28.00

* Dual Member: ($20) My Primary Branch is ______________________       $20.00

Click on the Buy Now button to pay your dues using PayPal:

Please fill out form and email to Susan Moen:    susanmoen@comcast.net

Even if you make your dues payment thru PayPal

    Save this form on your computer. Fill it out and save it again. Email attach it to Susan.

If you prefer to write a check, make checks payable to: AAUW – WA Online Branch

Email Susan Moen for her address since we do not want to publish it on this website