2011-12 FWAA/USBWA Membership Application
Please fill out this form completely with your preferred contact information and then hit submit. Once the application has been submitted, you will then be directed to pay your annual dues.

Name:
Affiliation:
E-Mail Address:
Address1:
Address2:
City, ST:
Zip Code:
Office:
Home:
Cell:
Fax:
Beat:
Twitter Page:
I am a new FWAA member in 2011-12
I am a new USBWA member in 2011-12
Referred by:
Marriott Rewards:
I have a Facebook profile
Please donate $1 of my dues to The V Foundation on behalf of National College Football Day
Please donate $1 of my dues to the Kidney Foundation on behalf of the Oscar Robertson Trophy
Please add any special instructions here.
Important: In order to receive a Marriott VIP Card, you must be enrolled in the Marriott Rewards program and supply your account number above. If you are not enrolled, visit the Marriott website to do so.