Deaf Women United Master Template

Deaf Women United. Tagline:Enlighten Yourself!

Membership Form

You have two options:

1) Pay online via paypal.
Click here if paying through paypal

2) Print this page and mail to DWU, Inc

DEAF WOMEN UNITED, INC (DWU) is a non-profit, organization of, by, and for Deaf women whose primary purposes are to promote and educate Deaf women in all walks of life such as Deaf culture, politics, employment and education; and to provide opportunities for social activities and networking. DWU is a growing organization that was established 1985 at the first National Conference. DWU sponsors a national conference every two years, with the intent to focus on current issues and updated information for its participants.

Members will include quarterly newsletter and reduced costs at national conferences. Annual Dues shall commence from the date of joining, and shall expire one(1) year later, unless a renewal payment is made by or prior to the expiration.

Name: _____________________________________________________

Address: ___________________________________________________

City/State/Zip Code: __________________________________________

E-Mail: ____________________________________________________

Please check the following annual dues:

	One Year	Two Years
Regular Membership	$25	$45	Under Age 62
Senior Citizen	$15	$25	Age 62+
Student	$15	$25	With proof of student status/valid ID
Special Individual	$10	$15	With proof of public assistance or letter of consideration
Junior Membership (under the age of 18)	$10	$15	Deaf, Hard of Hearing or Deaf-Blind
Supporting Membership	$20	$35	Hearing women only
(hearing women who will have all rights and benefits of membership except the right to vote and attend national conferences.)
Affiliate/Organizations	$50	$95	At least 75% of Deaf Women in an organization

I would like to buy a membership for my friend for $_______.
Her name is _____________________________________.

I recognize the importance of DWU, and would like to make a contribution in addition to my membership fee. Enclosed is my donation of $__________.

TOTAL ENCLOSED $______________.

Please make check payable to: Deaf Women United, Inc. and mail to :

Deaf Women United, INC
PO BOX 141774
Austin, TX 78714-1774