PAKISTANI-AMERICAN ANJUMAN Membership Application Form

P.O.Box,4762 CARY, NC 27519-4762 www.ncpaa.org

Fill out the application completely.

Part 1. Information About You.
Family Name		First Name					M.I.	[ ] Male [ ] Female
Street Address
City			State			Zip Code
Telephone Home	Telephone Office (opt)				Telephone Mobile (opt)
Email Address				Profession

Part 2. Information About Your Family. Skip if you are not married. SPOUSE
Name		[ ] Wants to be a member
CHILDREN - Use back of the sheet for more space.
Name	Age	[ ] Wants to be a member
Name	Age	[ ] Wants to be a member
Name	Age	[ ] Wants to be a member

Part 3. Signature. By signing below you agree with the constitution of Pakistani-American Anjuman. A copy of the constitution is available from our website: ncpaa.org/docs/constitution.pdf.
Signature	Print Your Name	Date

Applications can be handed to a member of the executive committee, mailed to PO Box 4762 Cary, NC 27519-4762 or filled at our website at ncpaa.org/membership. Membership fee includes special entry to all the events, free entry to the annual dinner and subscription to our monthly newsletter Payamber. Make checks payable to Pakistani-American Anjuman.

Family: $25.00 per year

Single: $10.00 per year

Student members above the age of 16: $5 per year per person

There is no annual fee for children under the age of 16.

FOR OFFICE USE ONLY
Membership ID	Date Received	Payment Type/Amount	Received by

PAAMemberApp.doc - 05/07/2001