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Today's Date: Family Name First Name | Middle Name Chinese Name (if any) Home Address City State and Zip Code Country Home Telephone Job Title Institution Address City State and Zip Code Work Telephone FAX/Home FAX Email Address
Please enclose a check payable to CALA Send this form and the check to:
Hong Wang
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[ ] New Member [ ] Renewing Member Membership Dues cover the full calendar year, from January 1st to December 31st. First time new member joining during or after the annual membership meeting is entitled to pay half the annual dues for the remainder of the calendar year. Dues in U.S. dollar value equivalency or from a U.S. bank.
CALA Member who recommended you (if any): I recommend the following potential member:
Name:
Address:
Phone/Email:
(Please print your information neatly. Thank you.) |
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