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Become a Member
Please Print Out and Fill Out
Please Print Legibly
NAME:_______________________________________
ADDRESS:___________________________________
_____________________________________________
CITY/STATE/ZIP:_____________________________
EMAIL: ______________________________________
PHONE: ______________________________________
SCHOOL: _____________________________________
GRADE: ______
Male / Female (circle)
Please check one:
O $10 Youth: middle school/high school
O $10 Youth: under 21 and out of school
O $15 Alumni: under 21 and in college
O $20 Adult: over 21 years old
Please make checks payable to: CAPAY.(Cash is also acceptable.)
And send to:
CAPAY, c/o Asian American Studies, UMass Boston,
100 Morrissey Blvd.
Boston, MA 02125-3393
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