The Society for Women and
the Civil War
Recognizing
the Efforts of Women 1861-1865
2010 MEMBERSHIP FORM
NEW MEMBER
RENEWAL
REJOINING
First Name:
Last
Name:
Organization:
Address:
City:
State: Zip:
E-mail:
Daytime phone:
Area of Interest:
(The information above will be in the annual membership directory)
YES,
include my information listed above in the Membership Directory
NO,
please only include my name, city, state, e-mail and area of interest
in the Membership Directory
The Membership Directory will be available at the annual conference in
July. Those not picked up will be mailed
in August.
Members will be notified by e-mail when the quarterly e-journal “At Home
and in the Field” is posted to the Members-only portion of the SWCW website.
MEMBERSHIP
CATEGORIES:
Individual ~
$25.00
Individual
plus one (at same address) ~ $40.00
Student,
under 21 years old ~ $15.00 (Please provide name and address of
school)
Organization ~
$55.00 ~ includes a hard-copy mailing of the e-journal; organization
will be listed in directory; two staff members may register for conference at
the member rate
SWCW
Supporter ~ $_______ This donation will be applied to a
student scholarship fund
Add
$10.00 to have a “hard-copy” of the e-journal mailed to you
TOTAL
AMOUNT ENCLOSED: ________________
Please enclose a personal check or money order made out to the Society
for Women and the Civil War.
Memo: 2010
Membership. Please do not
send cash.
MAIL TO:
Society for Women and the Civil War, Inc. (SWCW)
Box #9066
8345 NW 66th St.
Miami, FL 33166
SWCW voice mail: (804) 244-1864 (leave message)
www.swcw.org
SWCW « Box #9066 « 8345 NW 66th St. « Miami, FL
33166 « swcw.org
The Society for Women and
the Civil War
Recognizing
the efforts of women 1861-1865
GIFT MEMBERSHIP FORM
Please send my gift
membership TO:
First Name: Last
Name:
Address:
City: State: Zip:
E-mail:
Daytime phone:
This gift
membership is FROM: ______________________________
(your
name)
FOR: ______________________________
(Birthday,
Christmas, Anniversary, other occasion)
Please provide a
method to contact gift giver, if any questions: _____________________
(e-mail or phone number)
Please complete
this form and enclose a personal check or money order made out to the Society
for Women and the Civil War. Memo:
gift membership.
Please do not send
cash.
q $ 25.00 One
Year INDIVIDUAL Membership
q $ 10.00 To have a “hard-copy” of the e-journal mailed
TOTAL
AMOUNT ENCLOSED: ________________
Mail form and check to:
Society for Women
and the Civil War, Inc.
Box #9066
8345 NW 66th St.
Miami, FL 33166
SWCW voice mail: (804) 244-1864 (leave message)
www.swcw.org
SWCW « Box #9066 « 8345 NW 66th St. « Miami,
FL 33166 « swcw.org
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