CALA Membership Application Form

To apply for membership for CALA, fill out and submit the form below.

Note: 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.

Personal Information

Last/Family Name: *

First Name: *

Middle Name:

Chinese Name:

Home Address:

Home City:

Home State:

Home Zip Code:

Home Country:

Home Phone:

Work Information

Job Title:

Institution:

Work Address:

Work City:

Work State:

Work Zip Code:

Work Country:

Work Phone:

Fax:

Email: *

Personal Website URL:

Type of Membership

Member Type:

New Member

Renewing Member

Chapters: select...Greater Mid-AtlanticMidwestNortheastNorthern CaliforniaSoutheastSouthern CaliforniaSouthwestAll Other U.S. StatesNon-US Areas

Membership Category: select...Regular Membership ($30)Student Membership ($15)Non-salaried Membership ($15)Overseas Membership ($15)Life Membership ($300)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:

Referral

CALA Member who recommended you:

I recommend the following potential member

Name:

Address:

Phone:

Email:

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