N.A.W.E.O.A. Membership Application

• Individual Regular Membership.......$10.00
• Lifetime Regular Membership............$100.00
• Individual Associate Membership.........$20.00
• Lifetime Associate Membership..........$200.00
• Individual Student Membership...........$10.00
• Student Affiliated Organization Membership.....$100.00
• Affiliated Organization Membership.....$200.00

If Joining as an officer please list your Jurisdiction and job title.
____________________________________________________________________

Membership Category: _____________________________________________

Membership Dues Enclosed:$ ____________________________________
           
Name: _________________________________________________________

Address: ______________________________________________________

City/State/Prov: ______________________________________________

Zip Code/Postal Code: _______________________ 

Tel. (        ) ______-_________________  

E-Mail_______________________@_______________________

Remember NAWEOA dues year runs from January 1 through December 31 of each year.

Mail To:

• NAWEOA - c/o Steve Kleiner
• P.O. Box 22
• Holidaysburg, PA 16648
• U.S.A.