Phoenix Branch Membership Form

Phoenix Branch AAUW

Dues Student dues - $17.00 Total

Regular Member Dues - $72.00 Total

($49 National, $9 State $14 Branch)

Name _______________________________________

Address _____________________________________

City_______________ Zip ___________ Birth Month ________ Day _________

Phone _____________________ Cell ______________

Email ________________________________________

Degree ____________________ School______________

I would be interested in participating in __Writing/Critique Group __Day __Evening

__Book Discussion Group __Day __Evening __Membership Committee

__Great Decisions Group (Foreign policy study group)

__Bridge __Marathon __lessons __games __Travel Discussion Group

__4th Saturday Morning Coffee & Conversation __Writing/Critique Group __Day __Evening

__Gourmet Grazing Group (Saturday Evening several times a year)

Send dues to:

Kathleen Preece

7818 N 16th Lane

Phoenix, AZ 8502

For information call 602-943-2555