American Turkish Association of Southern Californa, San Diego - American Turkish Association of Southern Californa, San Diego

ATASC- San Diego Chapter Membership Form American Turkish Association of Southern California www.sdturks.org Email: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it P.O. Box 12692, La Jolla, CA 92039
New Member	Renewal	Membership is valid until at the end of the corresponding year.
TYPES/DUES
Student	Individual	Family
Payment Terms
PLEASE MAKE CHECK PAYABLE TO ATASC-San Diego Mailing Address : P.O.BOX 12692, La Jolla , Ca 92039 or Email : This e-mail address is being protected from spam bots, you need JavaScript enabled to view it and kindly mail the check to the above address.
MEMBER INFORMATION
Full Name:
Company Name:
Occupation:
Mailing Address:
	City:	State/Zip:
Phone Number:	Home:	Cell:
	Work:	Pager:
Email Address:
I' d like to volunteer for ATASC-SD, please contact me: Yes No
ADDITIONAL MEMBER INFORMATION
Spouse Full Name:
Company Name:
Occupation:
Mailing Address (only if different than above) :
	City:	State / Zip:
Phone Number:	Home:	Cell:
	Work:	Pager:
Email Address:
Children (s) Full Name(s):



OFFICE USE ONLY :
CHECK #	MEMBER ID#
DATE:	MEMBERSHIP YEAR : 2008
Thank you for your continuous support in joining ATASC-SD!

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