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AAUW Tyler Branch Member Application
Please complete the member application below. Contact Membership Vice President Susan Garrison if you have any questions or President Diane Kavanaugh. For contact information, visit
https://tyler-tx.aauw.net/about/officers/
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Full Name
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Your answer
Mailing Address
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Your answer
City, State, Zip (please include zip code)
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Your answer
Email address
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Your answer
Cell phone number (if none, indicate n/a)
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Your answer
Home phone number (if none, indicate n/a)
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Your answer
Occupation and Employer
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Your answer
Work phone number (if none, indicate n/a)
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Your answer
Date of Birth (MM/DD/YY)
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MM
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DD
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YYYY
College/University #1 - Please list name, state, degree name, major, date of attainment (mm/dd/yy). List highest degree earned first.
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Your answer
College/University additional listings - Please list name, state, degree name, major, date of attainment (mm/dd/yy). (enter n/a if only one school to list)
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Your answer
Who referred you to AAUW? (list n/a if not referred)
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Your answer
Acceptance Agreement - I hereby accept membership into AAUW Tyler Branch and understand that as a member I will pay annual dues.
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Yes, I agree
Required
Payment Options
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I will mail my dues payment for $100 ($15 local dues, $13 state dues and $72 national dues) to PO Box 7171, Tyler TX 75711-7171
I would like to pay by credit card. Please send me an invoice for payment of $103.00 ($100 dues plus $3 card fees.)
I paid or will pay at the next AAUW function I attend.
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