Registration Form for the AAUW NJ Fall Focus Meeting (October 20, 2018)
8:30 AM to 2:00 PM at on Brookdale Community College Lincroft campus

765 Newman Springs Rd, Lincroft, NJ 07738

“Twin Lights” on lower level of The Warner Student Life Center

Board Meeting to follow Fall Focus meeting (from 2 - 2:30 pm)
(Members interested in Board Positions invited to attend)

Email address *
AAUW NJ leaders are encouraged to come to a day of workshops where we will work on how to brand ourselves as AAUW members to better engage the public in support of our mission.
Each branch is invited to send two representatives who are instrumental in organizing branch programs or projects.
National members who wish to be more active in AAUW NJ are also encouraged to join us.
Due to change of location, registration is now open to all members with an interest in attending.
Registration Ends October 8, 2018
Cost - $25.00 (Continental Breakfast & Lunch included)
Free to AAUW NJ Board Members and students.
EACH REGISTRANT MUST COMPLETE THIS ONLINE FORM AND PAY FOR THE EVENT PRIOR TO ATTENDING THE MEETING!
Payments can be paid online or by mailing in a check
Use link at the end of this form to pay online. Use address at end of this form, if paying by check.
ALL FIELDS WITH A RED * must be filled in, or the form will not be submitted.
CONTINUE COMPLETING THIS REGISTRATION FORM
First Name *
Your answer
Last Name *
Your answer
Mobile Phone Number *
(or other preferred Contact Phone Number)
Your answer
Branch Membership (s) *
CHECK ALL THAT APPLY
Required
Board or Project Leadership Positions?
(Specify position and whether National, State, or Branch)
Your answer
Payment Amount $ *
AAUW NJ Board Members enter 0
Your answer
How will you be paying? *
(If exempt from paying, only need to complete the Registration Form.)
Check Number (if paying by check)
Your answer
Comment / Question (s) ?
Your answer
PAY ONLINE USING THE FOLLOWING LINK: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=5UHZD5WBFNMKU - and then return to this form to finish the registration
Please be patient, it takes a few moments for the page to appear!

Note: You do NOT have to create a PayPal account, to pay online. Simply hit the "Check Out - Pay without a PayPal account" button. If you already have or wish to create a PayPal Account, hit the "Pay Pal Checkout" button.

PAY BY MAIL
Make Check payable to AAUW NJ:

Keturah Harris

AAUW NJ Program and Communications VP

406 Haynes Run

Medford, NJ 08055

Contact Keturah with questions about the meeting: (609) 923 4748 or kharris106@gmail.com

Visit the AAUW NJ website for more information, at:https://aauw-nj.aauw.net/events/#Fall. For general questions, please email us at: aauwnj@gmail.com
Please look in your spam folder, if you do not receive an email.
HIT "SUBMIT" BUTTON BELOW TO COMPLETE YOUR REGISTRATION! You will receive a confirmation email if you have successfully completed this form.
Please look in your spam folder, if you do not receive an email.
A copy of your responses will be emailed to the address you provided.
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