AAUW Test New Member Application AAUW Napa County Branch Membership Application Name* First/ Nickname Last Spouse/Partner Name First Last Optional Maiden NameAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneCell PhoneWork PhoneCollege/University College/ University Campus Location Degrees Year Graduated (optional) Additional College/University/Degree/Year ProfessionRetired?Previous AAUW Membership? Yes No BranchDatesName used/if different above: First Last Student Affiliate Applicants Only College You Attend Years Completed How Did You Hear About AAUW?Community Service Projects, Committees, and Sectionsclick any of interestCommittees Hospitality AAUW Fund/Scholarships Member Programs Communications Nominations Open Sections Antiques Art Group Book Club (several open Bridge Cocktails & Conversation Conversation on the Intersection of Art, Politics, Race, and Gender Financial Literacy For Us Garden Gloves House & Garden Mah Jongg Noon Spoons Dine Out Dine Around Couples Play-reading Community Service Projects Adopt a Road Cleanup Anti-bullying / Cyber-bullying Napa Valley College Club/AAUW Partnership Local Scholarship Awardee Selection Public Policy The Table Food Program Tech Trek Science/Math Camp Speech Trek Speech Contest Abilities and Skills Accounting/bookkeeping Art Calligraphy Computer Skills Culinary Fundraising Graphic Design Help as Needed Hosting Events Leadership Mailing Media contact Music Photography Publicity Transportation Writing/Editing Other Abilities and SkillsDues collected between March 15, 2018 – December 31, 2018 are $103. If joining at AAUW event dues are reduced to $73.50. Make checks payable to AAUW Napa County Branch & mail check / application to: AAUW Membership, PO Box 10407, Napa, CA 94581. Dues include membership in Napa County Branch, State, & National AAUW organizations, a Membership Directory and an online subscription to our The Twig newsletter. Hard copy Twig subscriptions are available for $10.Pay by separate check to AAUW Napa County Branch & send to PO Box 10407, Napa CA 94581 Δ
