P.G.E.M.W.

Prince George’s Elected Municipal Women

3820 40th Avenue, Cottage City, MD 20722
Phone 301-779-2161 Fax 301-779-3525

Membership Form 2010

Membership in Prince George’s Elected Municipal Women is open to all elected or
appointed officials in Prince George’s County.
Membership Categories
 Regular Member: any presently elected or appointed Prince
George’s County municipal official in good standing.
 Associate Member: any elected or appointed or former elected or
appointed official from Prince George’s County. Any regular member may
nominate a person for associate membership, which shall be approved by a
majority of the regular membership present at any meeting.
 Honorary Life Member: any former elected or appointed municipal
official. Any regular member may nominate a person for honorary life
membership, which shall be approved by a majority of the regular
membership present at any meeting.

2009-2010 Membership dues are $20 annually for Regular and Associate Members. The
membership year begins July 1. Honorary Members do not need to pay dues.

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
DATE: __________________

YES! I would like to join Prince George’s Elected Municipal Women.

Name ________________________________________________________________

Elected/Appointed Position ______________________________________________

Address______________________________________________________________
Phone______________________________Fax________________________________

E-mail_________________________________________________________________

Membership Category: _______ Regular ________Associate* ________ Honorary*

* These memberships must be approved by the membership.

Please enclose a check for $20 payable to P.G.E.M.W. and mail to 3820 40th Avenue,
Cottage City, Maryland 20722.