Page 10 - CALIFORNIA WOMAN - FULL SPRING EDITION 2024 - FORMAT PDF

California Federation of Business and Professional Women
2024-2025 Dues Transmittal Form (June 1, 2024-May 31, 2025)
Local Organization: ________________________ Date Submitted: / / Total Remitted: $___________ Ck#: ____________
Please write clearly as we update from a faxed copy and supply all information on the form and indicate  if there is a change in the information.

Member’s Name _____________________________________________ Like to be called ___________________ Date originally joined BPW ____________

 Mailing Address _______________________________________________ City __________________________ State ______ Zip _____________

 Home phone _________________________________  Business Phone __________________________  Cell (Optional) __________________________

 E-Mail address _________________________________  New Member Referred by: _________________  Student  Continuing/Renewing

 Occupation  Employer  Retired from: ______________________

 District Office  Club Office

Member’s Name _____________________________________________ Like to be called ___________________ Date originally joined BPW ____________

 Mailing Address _______________________________________________ City __________________________ State ______ Zip _____________

 Home phone _________________________________  Business Phone __________________________  Cell (Optional) __________________________

 E-Mail address _________________________________  New Member Referred by: _________________  Student  Continuing/Renewing

 Occupation  Employer  Retired from: ______________________

 District Office  Club Office

Member’s Name _____________________________________________ Like to be called ___________________ Date originally joined BPW ____________

 Mailing Address _______________________________________________ City __________________________ State ______ Zip _____________

 Home phone _________________________________  Business Phone __________________________  Cell (Optional) __________________________

 E-Mail address _________________________________  New Member Referred by: _________________  Student  Continuing/Renewing

 Occupation  Employer  Retired from: ______________________

 District Office  Club Office
2024-2025 STATE DUES = $85 for NEW and RENEWING Members from JUNE 1 to MAY 31; STUDENT DUES = $25 (June 1 – May 31);
HALF YEAR Dues = $42.50 for NEW MEMBERS joining after January 1, 2025
Within 30 days of collection, forms and payment (payable to CFBPW) should be mailed to
Katherine Winans, CFBPW Member Records-1171 Chaparral Court, Minden, NV 89423
Please make a copy for your records. Please include your treasurer’s name and address.