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How Can You Join?
To join we need a completed application and membership dues for the first year. Please contact us for more information and
a copy of the application.
Application Form :Organization of Chinese American
Fairfield County Chapter
Membership Application for 2008
Please check: New member: _____, New address: _____
Last Name:_________________First Name:____________________
Home
Phone Number:____________________________________________
Address:_________________________________________________
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Work
Occupation:______________________________________________
Phone Number:____________________________________________
Email Address:____________________________________________
*Required for electronic communication
Spouse Name:______________________________________________
Occupation:______________________________________________
Children Names:___________________________________________
___________________________________________
___________________________________________
Please circle your interests in the following areas:
T: Tennis, B: Bridge, D: Dining, R: Reading, C: Chorus, A: Art & Entertainment, Y: Young Professional, T: Travel,
K: Keynote Speaker Forum, N: New Year Celebration, S: Scholarship, CA: Community Affairs
Annual dues: $35 for per family, $25 per individual
Join as an OCA, FC member and be part of our growing network in Fairfield County to receive Newsletters and enjoy
the free or discounted admissions to year-round exciting events.
Please make checks payable to: OCA-Fairfield County Chapter
Mail forms to:
Organization of Chinese American, Fairfield County Chapter
P.O.Box 16492, Stamford, CT 06905
or-Fang Zhou: VP--membership
address: 83 Morgan Street, #7H
Stamford, CT 06905
We welcome your comment or interest that you like to share with us
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