AMERICAN ASSOCIATION OF UNIVERSITY WOMEN

STATE OF FLORIDA DUES REPORT FORM

2010-2011

 

 

BRANCH  __________________________________________ REPORT NO.______DATE______________

 

TREASURER’S NAME_____________________________________________________________________

 

ADDRESS         ___________________________________________________________________________

 

                        ___________________________________________________________________________

 

                        ___________________________________________________________________________

 

 

EMAIL              __________________________________________________________________________

 

MEMBERS

 

Number

Dues Amount

 

Total Amount

 

 

 

 

 

 

N

New Member

 

$12.00

 

 

REN (MOB) 

Renewal Member or lapsed 1 year

 

$12.00

 

 

LIFE

Life Member

 

$12.00

 

 

HONORARY LIFE

Honorary Life

 

$0.00

 

 

DUAL

Dual member

 

$12.00

 

 

STF

Shape the Future

 

$6.00

 

 

STF-MGM

Shape the Future/Member Get Member

 

$6.00

 

 

MGM

Member-Get-Member

 

$12.00

 

 

S

New/Renewing Student Affiliate

 

$0.00

 

 

S-MGM

Student Affiliate/Member Get Member

 

$0.00

 

 

T

Transfer

 

$12.00

 

 

GGG

Give a Grad a Gift

 

$0.00

 

 

DUAL Dual Member NOT paying state dues

 

 $0.00

 

 

Deceased 

Paid current year dues

 

 $12.00

 

 

 

A COPY OF THIS FORM MUST BE ATTACHED TO A BDR OR ADR

IF NOT ATTACHED, CHECKS WILL NOT BE PROCESSED UNTIL FORM IS RECEIVED

 

 

MAKE CHECKS PAYABLE TO: FLORIDA AAUW

 

 MAIL TO:  

                                           Carol Newnam

                                            906 Golden Beach Blvd

                                            Venice, FL 34285