Membership in the United Nations
Association of the USA is your gateway to greater participation in world affairs.
UNA MEMBERSHIP APPLICATION
NAME:____________________________________________________________
ADDRESS: ________________________________________________________
CITY/STATE/ZIP:__________________________________________________
HOME TELEPHONE:_____________________________
BUSINESS TELEPHONE:________________________________
MEMBERSHIP TYPE (CHECK ONE):
__ Personal __ Local Organization/School/Business
MEMBERSHIP STATUS (CHECK ONE): __ New __ Renewal
MEMBERSHIP DUES CATEGORY (CHECK ONE):
__ $10 Student Introductory - first year only
__ $25 Introductory - first year only
__ $40 Member individual or family
__ $100 Sponsor
__ $500 Patron
__ $1,000 Lifetime (one time dues payment)
In addition to my dues, I would like to make a special
contribution to:
__ UNA-USA National Programs in the amount of $___________
__ My local chapter in the amount of $____________
(Contributions are tax deductible to the extent provided by law.)
PLEASE RETURN THIS COMPLETED FORM, ALONG WITH YOUR CHECK PAYABLE
TO "UNA-USA" to:
UNA-USA Membership Services
801 Second Avenue
New York, NY 10017
Questions? Call us at (212) 907-1325
UNA-Minnesota Resource Center and
member Support: info@unamn.org