Description	Total
Yearly Dues - beginning Jan. 1, 2008 ending Dec. 31, 2008. Delinquent Dues subject to a 20% late charge. Organization ______________________________________________ Preferred Address __________________________________________ _____________________________________ Zip________-___________ Website Address __________________________________________ 2007 President ____________________________________________ Address ________________________________________________ _____________________________________ Zip________- _______ Telephone (_____)________________ Fax (______)______________ E-mail __________________________________________________ Delegates (every organization has 2 delegates, 3 if over 100 members) (The delegate term is from January 1, 2007 to December 31, 2007) 1)Name____________________________________________________ Address _________________________________________________ ___________________________ Zip_________-___________ Telephone (_____)_______________ Fax (_____)________________ E-mail __________________________________________________ (2)Name____________________________________________________ Address _________________________________________________ ___________________________ Zip_________-___________ Telephone (______)_______________ Fax (_____)_______________ E-mail __________________________________________________ (3)Name_________________________________________(or Alternate) Address _________________________________________________ ___________________________ Zip_________-___________ Telephone (_______)______________ Fax (_____)_______________ E-mail __________________________________________________ Will your group honor a 2008 Woman of Excellence? Yes ______ No______ ** If Yes, FHPW ANNUAL DUES MUST BE PAID BY 1/31/08. WOE Selection Chair Name and Number ____________________________________	$100.00
Return completed form with check to: Federation of Houston Professional Women Attn:  Administrative Secretary P.O. Box 27621 Houston, TX  77227-7621	Total Due $100.00
FHPW Use Only: Check No.___________________ Check Date_____________________ Postmarked _________________ Date Received__________________	After 1/31/08 (20% charge) $120.00