Membership Application

Laurel Branch - American Association of University Women

Name: ___________________________________________________

Address: _________________________________________________

City: ____________________ State: __________ Zip: ___________

Phone (H): _______________________ (W): ___________________

Fax: _______________________ E-mail: _________________________

Birth Date: ___/___/___ Female Male

Education

College/University State/Campus Year/Degree

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Membership in the Laurel Branch of AAUW includes National and Maryland-State membership. If you are currently an AAUW Member-at-Large (MAL), check here____

Annual dues are $66 for July 1- June 30 dues year.

Half year dues are $33 if you join between January 1 and March 14.

Amount Enclosed: $_________________

Mail your application and check, made payable to Laurel Branch - AAUW, to:

Jan Loftus, Treasurer
Laurel Branch - AAUW
6006 Wiss Drive
Laurel, Maryland 20707-2655

The American Association of University Women promotes equity for all women and girls, lifelong education and positive societal change. The AAUW's Educational Foundation provides funds to advance education, research, and self-development for women and to foster equity and positive societal change. The AAUW's Legal Advocacy Fund provides funding and a support system for women seeking judicial redress for sex discrimination. In principal and practice, AAUW values and seeks a diverse membership. There shall be no barriers to full participation in this organization on the basis of gender, race, creed, age, sexual orientation, national origin, or disability.

last update 4/20/2007