Alaska Women's Network Membership Form

You can join the Alaska Women's Network by filling out and faxing or mailing this membership form.
Simply press PRINT in your browser toolbar to make a hardcopy of this form to fill out.
You can send the form to us at:

Alaska Women's Network
Membership Goddess
POB 240165
Anchorage, Alaska 99524-0165
FAX: 907.780.4203

Yes! I want to join the Alaska Women's Network!

Your name:

Your mailing address:

Your city, state, zip code:

Your home telephone:

Your work telephone:

Your fax number:

Your e-mail address:

Your URL (homepage):

I am interested in being a contact person for my community. A contact person sends in information for the Alaska Women's Network homepage on her local organizations, events, and issues. Circle:     Yes      No

I am interested in being a reporter for the homepage. Circle:     Yes      No

My occupation and/or special interests are:

 



Take a minute to send a contribution to the Alaska Women's Network. We are not a dues-paying organization, but we do accept contributions from those who visit our webpage and benefit from it. Your tax deductible contribution will help us continue to provide this service for the women of Alaska. Thank you. Checks can be made out to Alaska Women's Network and mailed to AWN Treasurer, 8601 Sultana Drive, Anchorage, AK 99615.

We look forward to meeting you!

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Last update: June 29, 2003.
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