American Women's Club of Düsseldorf - Membership Application

2008-2009 Membership Application

Club Year: June 1, 2008 - May 31, 2009

Please complete this form in full. Member applications and payment of dues are due on June 1st.

After July 1st, ALL renewing members will incur a €20 late fee. Associate Members will be placed back on waiting list. Also, there is no guarantee that your information will appear in the Member Directory or that you will receive a September Radschläger.

Paid members who must resign due to relocation are entitled to a full refund of membership dues if the AWCD receives notification by September 1st (AWCD By-laws, Article I Membership).

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= required fields *=required for new members
Last Name
First Name
Nationality
Street
Postal Code		City
Country
Email
Tel.		Fax
Mobile		Birthday Mth/Day
Current or Previous Occupation:		Company
Spouse's Name
Spouse's Company		Spouse's Nationality
Children Info:
# of Children
Their names & birthdates			Check if Child is a U.S. Citizen
	Birthday:		U.S. Citizen
	Birthday:		U.S. Citizen
	Birthday:		U.S. Citizen
	Birthday:		U.S. Citizen
	Birthday:		U.S. Citizen

Membership Permission:
I give permission to use my email as the primary method of the Governing Board’s communication with the membership, where notice is required in writing by our Constitution, By-Laws or Standing rules Yes No
I give permission to include my information in the AWCD membership directory. Yes No

Membership Information
Renewing Member: Please click here if you are renewing your membership.
New Member: Click here if you are a new member. Please fill in the information below.


Membership Categories (All fees are reduced by 50% February 1 - May 31 For New Members Only)
	Regular (a U.S. Citizen, or married to, mother or daughter of)	€80 *
	Associate (renewal of existing Associate status, non-U.S. Passport holder)	€80 *
	Associate (New Application for Associate status, non-U.S. Passport holder)	€80 *
	Honorary Member (as voted on by the Executive Board)	no fee

Newsletter Subscription Only (Former AWCD Members Only)
	If you are moving or have moved and would like to continue receiving the Radschläger, please contact Membership for details.

If dues are paid after July 1st, Renewing Regular members will incur a €20 late fee. Associate Members will go back on the Wait List. Member information will not appear in the Club Directory.

Tax Certificate

Membership fees to the American Women’s Club of Düsseldorf are tax-deductible for German taxes. If you
would like a tax receipt, tick the ‘yes’ box. You will receive a tax receipt shortly after your payment is
received. We recommend that you keep the receipt in a safe place until you need it for your German tax
preparation. Would you like a tax receipt? Yes No

Volunteer Information

Helping with activities is an important aspect of the AWCD. Please indicate below how you would like to
contribute to our organization.

Activities you would like to volunteer for:		You are willing to
	Charity Event		Become a Board Member
	Radschläger (the AWCD Magazine)		Chair a committee
	Charity Efforts		Lead an activity
	Assistance for Newcomers		Teach a class
	Travel Programs		Staff events
	Halloween Party		Host an event in your home
	Kids' Club		Write articles
	FAWCO related activities		Make telephone calls
	Gatherings and other Programs		Stuff envelopes, etc.
	Sunshine and Cheer		Do whatever it takes!
	Community Outreach Programs

Skills and Experience you can offer:
	Computer		Organization/Management
	Websites		Public Relations
	Financial (bookkeeping)		Sales/Marketing
	Development/Fundraising		Art, graphics, photography
	Crafts
	Translation - Languages		Other:
I am willing to help:


Payment Options (regardless of how you pay, you must complete this application form)
	Cash (Do not send cash by mail. Bring cash to luncheons.)
	Check (German bank checks only, payable to AWCD. Include Bankcard number on back of check.
	Überweisung (Complete the Überweisung form at your bank. Funds must appear on AWCD bank statements before we will process you application. Überweisung Details appear below. click here for information on how to fill out an Überweisung (.PDF format)

Überweisung Details

OFFICE USE ONLY
Club Year	______________
Member Status	______________
Amount Paid	______________
Date Paid	______________

Empfänger (payable to:)

AWCD

Konto-Nr. des Empfängers (AWCD Acct. No.):

180 4780

Bankleitzahl (Bank No.):

300 400 00

Kreditinstitut (Bank)

Commerzbank Düsseldorf

Betrag: €

the amount you will pay

Kunden-Referenz Nr.:

your name, AWCD Membership 08-09*

*including your name on the payment is vital to your application being correctly processed-

Comments:



Member Responsibilities: The responsibilities to the American Women’s Club of Düsseldorf include that members shall participate, to the best of their ability, in monthly meetings, voting, activities, and in assisting newcomers.
Signature: (Please type your first and last name)


Complete Membership Application Process:
* hit the "Submit" button OR
* hit the "Print" icon to print out the application, then mail the completed application and payment to: American Women's Club Postfach 310225 40481 Düsseldorf	Print the Application
	Last updated: May 8, 2008