To become a member of the Ithaca Branch of AAUW, complete this membership form:

2021-2022 AAUW Dues


Name _________________________________________________________________________________________

If new Address _______________________________ City, State, Zip ______________________________

Phone: Home _______________________Work _____________________ Cell ________________________

E-Mail _________________________________________________________________________________________

Check number and amount _________________________________________________________________


Regular Membership:

Association     $62.00

New York       $0

Ithaca Branch$10.00

Total               $72.00


Special Memberships:

Student Affiliate (undergraduates)        $18.81

Graduate Student                                      $18.81


College Affiliation ___________________________________________________

How would you like to receive our newsletter? ____ US Mail _____ E-Mail


Return this form with check payable to Ithaca AAUW to treasurer

Margaret Nichols, 111 Stewart Ave., 1NW, Ithaca, NY 14850