Membership

REDWOOD EMPIRE CHINESE ASSOCIATION MEMBERSHIP FORM

Membership dues are $20 per person (adult) or $30 per couple for January to December.

Please make your check payable to Redwood Empire Chinese Association

and send it with the information below to: Redwood Empire Chinese Association,

P.O. Box 7854, Santa Rosa, CA 95407.

Name __________________________________Occupation ___________________

Spouse's Name ___________________ Occupation __________________________

E-mail address ________________________________________________________

2nd E-mail address _____________________________________________________

Address _____________________________________________________________

City __________________________ State ________________ Zip _____________

Preferred phone(s) _____________________________________________________

Children's Names and Ages ______________________________________________