Community College of Rhode Island

AAWCC/RI Membership Registration Form

Membership is contingent upon receipt of dues.
Annual Membership Dues Renewal Date Checks Payable To: Mail Checks To:
$10.00 (Ten Dollars) September 30th AAWCC/RI Tracy Karasinski
CCRI, Knight Campus
400 East Avenue
Warwick, RI 02886
Please provide the following information about yourself:
 

Membership: 

First Name:       Last Name:

Department:    Campus: 

Title: 

Telephone:   Fax:

E-mail address:

Upon submission, this form will be electronically sent to Amanda Overend - Membership Data Chair