Application Form
Reg. A002 1219R

This form helps avoid "hard to read" hand writing. Your information may either be submitted through the Internet by you or sent in after you entered all required information.

First and Last Name
Address / Street
Address / Suburb
City
State
Postal Code
Country
New Member Renewal Membership & Newsletter ......................$30.00 Newsletter Only .....................................$20.00 Pensioner Membership & Newsletter .......$20.00 Taking Time (+ postage) .......................$12.00 Left Wing Ladies (+ postage).................$25.00 UAW Membership badges .....................$6.00 Total (cheque/money order) will be sent by mail:
Your e-mail address (For updates on your membership)

After completing the form above:

1. Click 'Send' button to send application to UAW

2. Print this page use the Print Icon on your Browser

3. Mail or Fax to Union of Australian Women

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