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								DUES FORM     ____ NEW MEMBER                                                        ____CONTINUING MEMBER NAME(S): ______________________________________ ADDRESS: _____________________________________ _______________________________________________ ______________________________________________ TELEPHONE NUMBER:_________________________ EMAIL ADDRESS_______________________ DUES FOR THE ACADEMIC YEAR (2013-2014) :  $10.00 PER PERSON.                                                                                                        PAYMENT ENCLOSED --------------------        WRITE CHECK PAYABLE TO EMERITUS ASSEMBLY, AAUP AND MAIL TO JERRY LEIBOWITZ,  TREASURER, 28 WILLOWBROOK ROAD, STORRS, CT 06268
							RESERVATIOM FORM TUESDAY, APRIL 15, 2014 THE UNIVERSITY OF SAINT JOSEPH ART GALLERY WEST HARTFORD, CT                                                                                            NO.__________ LUNCH AT THE UNIVERSITY CAFETERIA IS SELF PAY TUESDAY, MAY 13, 2014 THE WEBB-DEAN-STEVENS MUSEUM  WETHERSFEILD, CT       ($10.00 PER PERSON)                       LUNCH AT A LOCAL RESTAURAT  IS SELF PAY                                           NO. _________ Please reserve by May 6, 2014 for the above meeting and include your payments by check..                                                                                NAME(S): __________________________________________ ADDRESS: _________________________________________ ___________________________________________________ ___________________________________________________ TELEPHONE NUMBER:_______________________ EMAIL ADDRESS:____________________________ WRITE CHECK PAYABLE TO EMERITUS ASSEMBLY, AAUP AND MAIL TO  JERRY LEIBOWITZ, TREASURER, 28 WILLOWBROOK ROAD, STORRS, CT  06268