Governance - Handbook | Page 86

Renewal / Reinstatement Member Processing Form
Page ___ of ___
This form should ONLY be used for members who have Previously been a Member of BPW / TN
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:
Total dues for
$ 40.00 and Student of Local( SOL) $ 15.00. Information about State dues
ALL pages submitted
can be obtained by contacting your State Treasurer.
BPW / TN
for Renewing /
$
Step 3: Remit all rrenewing / einstating member dues collected by the 10th of the
Member Dues
Reinstating Members
following month. Please use as many forms as you need. Send the state
718 Thompson Lane Suite # 108-323
dues amount collected to BPW / TN at the address shown.
Nashville, TN 37204
PLEASE KEEP A DUPLICATE COPY FOR YOUR RECORDS
Local Organization _______________________________________________ Treasurer’ Name __________________________________________________________________________ Treasurer’ s Email Address __________________________________________________________________ Treasurerʼs Daytime Phone Number ___________________________ Date ___________________
76 June 2011