Membership


Membership Information:

Name:________________________________

Address:______________________________
City: _____________________ State:_______
Zip Code: _____________________

Phone Number:_________________________

E-mail Address:_________________________
Chapter/Year of Initiation:________________
Profession/Major: _______________________
Husband's Name (if applicable)____________
Your Birthday: (Month/Day) _____________
( ) I'm thrilled to hear from you.
Please add me to your list.
( ) I would only like to receive the bi-yearly
newsletter
( ) Please send me e-mail updates
( ) Please remove my name from your list.
( ) I can't join right now, but here's a
contribution
$ 60.00
Annual Dues
$
Donations for AOII Foundation
$
AOII Cookbook ($6.50 each)
$
Nut order
$
Total Enclosed