GAWHE Membership Application
Please fill out the following form in conjunction with submitting the membership fee via PayPal.

If you would like to pay via check, please mail a check for $30 made out to "GAWHE" and mail to:

Richards College of Business
University of West Georgia
ATTN: Hope Udombon, GAWHE
1601 Maple Street
Carrollton, GA 30188

First Name *
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Last Name *
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Title *
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Department/Division/Unit *
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Institution *
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Street Address *
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City *
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State *
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Zip Code *
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Work Telephone *
(###) - ### - ####
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Email *
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Highest Degree Level
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Field of Study *
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Expertise / Skills / Area of Interest for Service *
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Are you interested in serving GAWHE? Please indicate your interest.
Annual Membership Dues, check one *
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