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Application for Membership
Associates of the American Foreign Service Worldwide Click here to print this page. Please send this form with your with your check or money order to: AAFSW Welcome to AAFSW! |
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Name:_________________________________ Address:________________________________ Phone (home):___________________________ Phone (work):___________________________ E-mail address:__________________________ Agency Affiliation (State, etc.):_____________ Who is the government employee? Is the employee currently on active duty? If overseas, current post:___________________ Are you a new member of AAFSW? Tell us about yourself! Are you male or female? (M/F):_____________ Date of birth:____________________________ Are you married? (Y/N):___________________ If yes, name of spouse:_____________________ Children and their dates of birth:____________ Are you currently employed? (Y/N:)_____ If yes, where?____________________________ Are you a foreign-born spouse? (Y/N):_____ If so, what is your native country?:___________ May we list your name and contact information Do you wish to subscribe to "Livelines" our members-only email discussion group? (Y/N)____ Please enter the email address that you want to use to subscribe to the group: _____________________ I am already subscribed to Livelines.(Y/N) ___
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Are you applying for Regular or Conditional Membership? Regular Membership:_______ Conditional Membership: _______ (one year only) Membership Fees: One year membership: $40.00 Two-year membership: $80.00 Three-year membership: $110.00 Four-year membership: $135.00 Five-year membership: $160.00 Total payment: $_____ *AAFSW Headquarters: $_____ *Volunteerism Award Fund: $_____ *Scholarship Fund: $_____ *Other contributions (gifts) $_____ Total contributions: $_____ May we publicly acknowledge your contributions? (Y/N)_____ |