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............$40 and up/year

Family Membership..................$50 and up/year

Business Membership.............$60 and up /year
*Membership fees are not refoundable

Date