Governance - Handbook | Page 85

New Member Processing Form
Page ___ of ___
Use this form to remit dues for new members only. If a member has ever been a member of BPW, please use the Renewal / Reinstatement Member Processing Form.
New Member Information:( please type or write clearly) Dues Info: BPW / TN MOL $ 50.00, Sr. MOL $ 40.00 BPW / TN SOL $ 15.00
Member
Name:
State Dues
Type:
Company Name:
$
( please circle)
( if applicable to mailing address)
Member of Address 1: Local( MOL)
Address 2:
Student of City, State, Zip, Country: Local( SOL) Work:() Home:()
Senior Fax:() E-mail:
Member
Name:
State Dues
Type:
Company Name:
$
( please circle)
( if applicable to mailing address)
Member of Address 1: Local( MOL)
Address 2:
Student of City, State, Zip, Country: Local( SOL) Work:() Home:()
Senior Fax:() E-mail:
Member
Name:
State Dues
Type:
Company Name:
$
( please circle)
( if applicable to mailing address)
Member of Address 1: Local( MOL)
Address 2:
Student of
City, State, Zip, Country:
Local( SOL)
Work:(
)
Home:(
)
Senior
Fax:(
)
E-mail:
Step 1: After indicating“ Member Type” for each reinstating member, please
complete all information requested. All information will be used to update the
BPW / TN database and used on mailing labels. Please confirm all information
Total dues
for accuracy. Errors can lead to non-receipt of member mailings.
this page
$
Step 2: Enter the dues collected from each member for State dues. The
Remit STATE dues
current State dues are: Member of Local( MOL) $ 50.00, Senior MOL
directly to:
$ 40.00 and Student of Local( SOL) $ 15.00. Information about State dues
Total dues for
can be obtained by contacting your State Treasurer.
BPW / TN
ALL pages submitted
$
Step 3: Remit all new member dues collected by the 10th of the following
New Members Dues
for New Members
month. Please use as many forms as you need. Send the state dues amount
718 Thompson Lane Suite # 108-323
collected to BPW / TN at the address shown.
Nashville, TN 37204
PLEASE KEEP A DUPLICATE COPY FOR YOUR RECORDS
Local Organization Name _______________________________________________________________________ Treasurer’ s Name _____________________________________________________________________________ Treasurer’ s E-mail Address ______________________________________________________________________ Treasurer’ s Daytime Phone Number _________________________________ Date _________________________
75 June 2011