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AAWS REGISTRATION FORM
NAME (Include title)________________________________________________________
INSTITUTIONAL AFFILIATION_____________________________________________
MAILING
ADDRESS__________________________________________________________________________________________________________________________________________________
PHONE: (work)_____________________________(home)_________________________
FAX:______________________________E-mail:______________________________
ANNUAL DUESAAWS dues are for one calendar year. Above dues apply to North America and overseas surface mail. For overseas air-mail add $10 per annum. Make checks payable to Association of African Women Scholars. Members not resident in the United States should pay by money order or check in US dollars drawn on a US bank.
Income over $35,000
Income from $15,000—$35,000
Income below $15,000
Students (resident outside Africa)
Other residents in Africa
African students studying in Africa
Institutional Member
Institutional Member (Africa)
Life Member* *
Associate membership rate: $5 off categories 1-3 above,*Add $10.00 for ovrseas airmail
* * One-time payment or 4 annual installmentsof $250.00$40
$30
$15
$10
$10*
$ 5*
$100
$50
$1000
and $100 off life membership rate
Send checks to:Pamela J. Smith, Ph.D.
Secretary, Association of African Women Scholars (AAWS)
The Goodrich Scholarship Program, Annex 24
University of Nebraska at Omaha
Omaha, NE 68182
USATelephone: (402) 554-3463
Fax: (402) 554-3776
E-mail: Pam_Smith@unomaha.edu