Annual Dues Invoice

Annual Dues Invoice
(Please download WORD document
below and complete typewritten)

Organizations can make changes to this information on the FHPW website at www.fhpw.org Dues are not deductible as a charitable contribution, but may qualify as a business expense. Please consult your tax advisor.

FHPW By-laws Article IV Section 6:"Members whose dues are not received by March 31, 2009 shall be automatically terminated for nonpayment."

Annual Dues Invoice
Payable Upon Receipt - Payment must be postmarked no later than January 31, 2010.
Please complete this form in its entirety when submitting the dues.
Organizations can make changes to this information on the FHPW Web site at www.fhpw.org.

Description
Total

Yearly Dues - beginning Jan. 1, 2010 ending Dec. 31, 2010.
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, 2009 to December 31, 2009)

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 2009 Woman of Excellence? Yes ______ No______
** If Yes, FHPW ANNUAL DUES MUST BE PAID BY 1/31/10.
WOE Selection Chair Name and Number &
Email Address______________________________________________________________

$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 1/31/10
(20% charge)

$120.00

Federation of Houston Professional Women
P. O. Box 27621
Houston, TX 77227-7621