PO Box 3192, Evansville, IN 47731-3192 Statement of 2016 Retiree Membership Dues Member Name: Home Address: Retired from Company: Home City, St, Zip: Job Title prior to retirement: Home Phone: Email: Cell phone: Years as ANEW Member: Completion of the above helps keep our membership up to date. Thank you for your attention to its detail. RETIREE MEMBERSHIP OPTIONS: Please choose the level below for 2016 membership renewal as a retiree. Regardless of level, benefits will include access to online membership database, receive monthly e-newsletter, invitation to membership appreciation event, and eligible for ANEW member benefits such as table space at meetings, door prize sponsorships, and advertising. $120 is enclosed o $60 is enclosed o Includes attending up to 6 general membership meetings Includes attending up to 3 general membership meetings $20 is enclosed I am renewing my 2014 membership as a retiree with guest privileges. o Includes attending as a guest at $20.00 per meeting Members must reapply for membership if dues are not received by February 15th, 2016. For questions, please contact Membership Chair, Lauren Jones, at ljones@joneswallace.com Please remit your dues/correspondence to: ANEW PO Box 3192 Evansville, IN 47731-3192 2016 Membership Meeting Dates January 27 February 24 March 16* April 27* May 25 June 22 Note: Please reference your name when paying with a company check. Dues paid to ANEW are not a charitable tax deduction for federal income tax purposes. Membership dues may be tax deductible as an ordinary and necessary business expense. Membership, annual dues, prepaid meals and sponsorships are non-transferable and non-refundable. *Membership meeting NOT occurring the regular 4th week of the month. July 27 August 17* September 28 October 26 November 16* December 14*