Local Chapter Application


 

Full Name:

Home Address:                                                            

City:                                                            State:                  Zip code:

Day Phone:                                                 Email address:

Eve Phone:                                                  Cell #:

Employer Name or Name of Business (if applicable):
                                

For our website, please let us know what information you would like for the public to see, if any at all:

 

 

   

Which is the best way to send information to you on our chapter activities or announcements (including our monthly newsletter)? 
 Email       Fax       Mail

Have you completed and returned your ABWA national application yet?  Yes    No           
*Please note it is required by the ABWA national bylaws that individuals wanting to join a local ABWA Chapter, must also join ABWA national.

When completed, bring your $24 payment to the next chapter meeting or send your check in the amount of $24 (made out to ABWA University Chapter) to:  Membership, ABWA, PO Box 560774, Charlotte, NC 28256