Ukrainian National Women's League of America (UNWLA)

Ukrainian National Women's League of America

UNWLA MEMBERSHIP: [Bylaws] [Application Form]

APPLICATION FOR MEMBERSHIP
Ukrainian National Women's League of America

Print the form below directly from your browser. Mail the completed form (please print clearly) with your check to:
UNWLA, Inc., 203 Second Avenue, New York, NY 10003

Last Name

First Name

Street address, Apt.

City

State

ZIP

Telephone/Fax

E-mail

Occupation

Skills, hobbies

At present I am

Employed

Not Employed

Retired

Marital Status

Married

Not Married

Widowed/Divorced

Husband's name (optional)

Children's name/s (optional)

I belong to the following organizations (list names and position/s held)

1.

2.

	I would like to join UNWLA, (Branch #________) in my area. Please forward my application.
	I would like to become a Member-at-Large Enclosed is my check in the amount of $50.00 for annual dues and one year's subscription to "Our Life". (Please make your check payable to UNWLA, Inc.)
	I would like to subscribe to "Our Life" only. Enclosed is my check in the amount of $30.00. (Please make your check payable to Our Life).
	I would like to become a Member of The Ukrainian Museum in New York. Enclosed is my check in the amount of $30.00 for annual dues. (Please make your check payable to The Ukrainian Museum).
	Enclosed is my donation to UNWLA, Inc. in the amount of $…………….for the following purpose ……………………………*

If accepted as a member of UNWLA, Inc., I pledge to abide by all its By-Laws.

Date:

Signature:

* Donations are tax deductible. UNWLA, Inc. is a non-profit organization under IRD Code 501(c)(3)