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AAFSW
Associates of the American Foreign Service Worldwide
4001 North Ninth
Suite 214
Arlington, VA, 22203

Welcome to AAFSW!

Name:_________________________________

Address:________________________________

Phone (home):___________________________

Phone (work):___________________________

E-mail address:__________________________

Agency Affiliation (State, etc.):_____________

Who is the government employee?
(Self/Spouse/Both):_______________________

Is the employee currently on active duty?
(Y/N):____________

If overseas, current post:___________________

Are you a new member of AAFSW?
(Y/N):____

Tell us about yourself!

Are you male or female? (M/F):_____________

Date of birth:____________________________

Are you married? (Y/N):___________________

If yes, name of spouse:_____________________

Children and their dates of birth:____________

Are you currently employed? (Y/N:)_____

If yes, where?____________________________

Are you a foreign-born spouse? (Y/N):_____

If so, what is your native country?:___________

May we list your name and contact information
in our Member Directory? (Y/N):____

Are you applying for Regular or Conditional Membership?

Regular Membership:_______

Conditional Membership: _______ (one year only)

Membership Fees:

One year membership: $40.00

Two-year membership: $80.00

Three-year membership: $110.00

Four-year membership: $135.00

Five-year membership: $160.00

Total payment: $_____

Contributions (*these are tax-deductible):

*AAFSW Headquarters: $_____

*Volunteerism Award Fund: $_____

*Scholarship Fund: $_____

*Other contributions (gifts) $_____

Total contributions: $_____

May we publicly acknowledge your contributions? (Y/N)_____