WELCOME
to the
M-WOMEN
WEBSITE

Member Registration Form
Become an M-Women member today! Print out this form, fill it in, and mail with your check to:

M-WOMEN
PO Box 7530
Ann Arbor, MI 48107

(please check one of the following)

_____Annual Membership ($20.00)
(Fiscal year July 1^st to June 30^th)

_____Life Membership ($200.00)

Contribution to M-WOMEN

($_____________)

Gifts are tax deductible to the extent allowed by law.

Name __________________________________________

Address ________________________________________

City ___________________ State ______ Zip_________

Phone (_____)______-________

Occupation _____________________________________

E-mail__________________________________________

Michigan grads, Please complete the following:

Student Last Name ______________________________

Year of Graduation & School_________________________

Sport(s) played (if any)___________________________