CALA Membership Application Form

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
Reference Librarian
California State Univ. Sacramento
2000 State Univ. Dr. East
Sacramento, CA 95819-6039
U.S.A.

 


 

[ ] 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.

 

Please choose one membership category

Regular Membership

$30

Student Membership

$15

Non-salaried Membership

$15

Overseas Membership

$15

Life Membership

$300

Honorary Membership

Free

Institutional Membership

$100

Affiliated Membership

$100

 

Additional Contribution:

CALA General Fund

$

CALA Scholarship Fund

$

CALA Research Fund

$

CALA Books to China Fund

$


Total:

$

Chapters:

[ ] Great Mid-Atlantic

[ ] Midwest

[ ] Northeast

[ ] Northern California (north of San Luis Obisbo/Bakersfield)

[ ] Southeast

[ ] Southern California (south of San Luis Obisbo/Bakersfield)

[ ] Southwest

[ ] None of the above

 

CALA Member who recommended you (if any):


I recommend the following potential member:

 


Name:

 


Address:

 


Phone/Email:

 


(Please print your information neatly. Thank you.)