Member Registration Form

American Agri-Women Membership Form

For membership year October 1, 2022 to September 30, 2023
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
What is your area of agricultural knowledge, experience or expertise? (Click the options to make your selections. )
Membership history:

I'm a first time memberI'm a returning member paying my dues for another year
New Registrations: Tell us a little about yourself, and your interest in agriculture.
Returning registrations: Are there any Ag-related national issues, or local Ag issues affecting your community? Other concerns?
Are you part of an AAW affiliate group, or will you be a general member (known as a "Member At-Large".)

I belong to an affiliate group.I want to be a Member At-Large
*If an affiliated member:
*The name of your organization:
e.g. State or Region Group Name
*Describe any offices held, or committee experience:
*Are your AAW dues paid to your affiliate?

Yes, but I need to update my membership with AAW too.No, I will be paying fees directly to AAW.
Which membership type are you registering?

Collegiate/Student MembershipAffiliate or General Membership
Do you want to receive email communications from AAW?

YesNo
- If your registration is prepaid by an affiliate, please click submit at the bottom of the page.
- If paying by check, scroll past the Membership Purchase section and click 'submit' at the bottom of the page. Then, mail your check to AAW Treasurer, 25204 210th St SW, Crookston, MN 56716.
- If making a credit or debit purchase, please complete below:

Membership Purchase

Collegiate/Student Membership$15.00

General Membership$30.00

Paying Online Fee$5.00

Total $0.00

Credit Card

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American Agri-Women Membership Form

Credit Card