As you know, we collect dues at the start of EACH academic year. If you have not been
able to make a meeting, or if you have not mailed your dues this fall, please print a copy of
this form and fill in the information. We want to be sure that our records are correct.
Please mail it to the treasurer (address below) along with your check.
We value you as a member and hope that you value your continued membership in
FACULTY RETIREES ASSOCIATION of the UNIVERSITY of HAWAII at MANOA
NEW/RENEWAL MEMBERSHIP FORM
Dues for period: FY 20___ - 20___ Today’s Date ______________________
New Member Renewal
Name (Please Print) _____________________________________________________________
City and Zip Code ______________________________________________________________
E-Mail ____________________________________ Phone ___________________________
(will be circulated only to other FRAUHM members)
UH Affiliation (Current or former)
Please complete this form with your check for $10.00 for one year. Make the check payable to
Mail to Mona Chock, 2392 Kaola Way, Honolulu, HI 96813
We are very interested in any special interest you may have to share with us and/or speakers,
programs, or field trips you would like us to include in future meetings. Please use the space
below to give us this valuable information.