CALA Membership Application Form
Family Name:
First Name:
Middle Name:
Chinese Name (if any):
Home Address:
City:
State:
Zip Code:
Country:
Home Phone:
Job Title:
Institution:
Work/School Address:
City:
State:
Zip Code:
Country:
Work Phone:
FAX:
Email Address (required)
:
URL Address:
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.
Member Type:
New Member
Renewing Member
Chapters:
Greater Mid-Atlantic
Midwest
Northeast
Northern California
Southeast
Southern California
Southwest
All Other U.S. States
Non-US Areas
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)
Do you prefer CALA materials mail to your:
Home
Office
Additional Contribution
CALA General Fund:
CALA Scholarship Fund:
CALA Research Fund:
CALA Books to China Fund:
CALA Member who recommended you (if any):
I recommend the following potential member:
Name:
Address:
Phone:
Email:
