NWEEO/AAA Membership Application/Renewal Request

If you prefer to mail or fax your application, here is a membership form you can print out.

*Name:
Title:
Organization:
Mailing Address:
City, State, Zip:
E-mail Address:
Phone:
Fax:
*What type of membership are you applying for:
Individual Application ($ 45.00 )
Organizational Application ($ 135.00 )

Renewal
If applying for an organizational membership, please list additional members' names and contact information below, and indicate the name of the voting member.
Comments:
How are you paying the membership fee?
Credit Card (Preferred. You will be redirected to a secure PayPal site. A PayPal account is not required.)
Will Mail Check
Other
Or Mail Check to:

NWEEO/Affirmative Action Association PO Box 636 Sherwood, OR 97140

Administrator: Kate Verotsky