UNIONTOWN BPW

BELOW IS THE DUES FORM

PLEASE FILL IT OUT AND SEND OR GIVE THIS PAGE TO

OUR CLUB TREASURER

                                     Marisa Harmon

dues-form.gif

NAME _____________________________________________________

 

 

                      MEMBER                                                                                                    STUDENT MEMBER

 

STATE         ____$15.00______           _____$8.50_________

 

DISTRICT ___ $ 3.00______               _____$ 3.00_________

 

LOCAL ____$7.00_______               _____$ 7.00_________

 

 

TOTAL ____$25.00______             _____$18.50_________

 

 

Checks to be made payable to the Uniontown BPW.

 

Click on the words below for a version to print.


DUES FORM