AAUW Bridgeport Area Branch Membership/Renewal Application
Name_________________________________________________________
Street_______________________________________________________
City__________________ State_______ Zip___________
Home Phone_________________________ Office Phone________________________
Fax__________________________ Email____________________________________
University/degree year____________________________________________________
*Fee schedule
__________ Regular member .................................................$68.00
__________ Dual (prime membership in another branch) ........$10.50
__________ Association Life (paid life) ..................................$19.00
__________ Student ..............................................................$17.00
__________ Honorary Life (member after 50 years) .................$0.00
__________ EFP Donation
__________ Scholarship Donation
__________ Legal Advocacy Fund Donation
__________ Total
*The above fees represent National ($49), State ($8.50) Local ($10.50 reg,) dues.
Please make check payable to AAUW Bridgeport Area Branch
Mail to;
AAUW Membership Treasurer,
Sylvia Dahl, 55 Lola St, Fairfield, CT 06825