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ORANGE COUNTY JAPANESE AMERICAN ASSOCIATION

Application for Membership

Name

Business Name

Address

City State Zip

Home Phone Office phone

Fax

I wish to become a member or renew my membership of the Orange County Japanese American Association.

Membership Fees:

Renewal New

Individual Membership............$30 and up/year

Family Membership..................$40 and up/year

Business Membership.............$50 and up /year
*Membership fees are not refoundable

Date

Please send this form, or fax with your check payable to OCJAA to the following address:

505 south Villa Real Dr., Suite 103A,
Anaheim hills, CA 92807
Tel:(714)283-3551 Fax:(714)283-3423


All Copy Right Reserved 1999
E-Mail network@ocjaa.org

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