Print,
complete, and mail to Marianne Myrick (OCC 123).
Date: ___________ c New c
Renew
Last Name:_________________________________
First Name:_______________________________
Department:
_______________________________
Email Address: _____________________________
Work Phone: _______________
Address: _________________________________ Home Phone:_______________
City ________________________ State _____ Zip
Code: ____________
Check One: c Student c
Administrator c Faculty c Classified Staff
Are you
currently a national member of AAWCC? c Yes c No
Please
indicate which committee you are interested in joining:
c
Fundraising/Scholarship c Publicity
c Membership c Program
Annual dues are $5 for employees and $3 for students. Please make checks payable to AAWCC. The membership year is January through December.
The Tuition Reimbursement benefit may be used by full-time employees for membership.