District Number ______ Unit # ________
2008 UNIT DATA FORM – DIRECT BILLING FROM NATIONAL
The following information is required to begin the process of printing 2008 Membership cards for your Unit.
The dues amount listed below will be printed on the 2008 Membership Renewal Notices that will be mailed to each Senior member of your Unit. The address of your Membership designee listed below will be printed on each Renewal Notice to show where your members are to send their dues for this Unit.
It is understood that no change in the amount of dues or the address to which the dues are to be sent can be made after a deadline which Department Headquarters will establish based on the requirements of National Headquarters.
THIS FORM MUST BE RETURNED TO DEPARTMENT
BY
FULL NAME OF UNIT ________________________________________________________
Address of Post/Unit (Physical location, not mailing
address):
Street Address
City State ZIP
2008 Senior Dues of this Unit are $____________ annually per
Senior member
2008 Junior Dues of this Unit are $____________ annually per
Junior member
Name of person to receive our Unit dues:
________________________________________ Membership ID #:_____________________
Mailing address: (provide street address and a P.O.
Box number if she has one)
______________________________________________________________________________
Street
Address P.O.
Box #
______________________________________________________________________________
City
State
ZIP
Phone ( _______)__________________________
_____________
_______________________________________
______________________
Date Signature
Title
Return no later than
212 N. Verlinden