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	Membership Application Name: _______________________________ Address: _____________________________ City, State, Zip:________________________ Phone Number (___)___________________ Fax(___)_____________________________ E-mail:______________________________ Comments: _________________________________________ ___________________________________________________ ___________________________________________________ US-CHINA REVIEW (Our national journal) is included in your annual membership dues. ______ Individual $ 25.00 ______ Family $ 40.00 ______ Senior $ 20.00 ______ Student $ 10.00 ______ Sponsor $ 50.00 or more Contribution $ ________ (tax deductible) Make checks payable to : USCPFA Detach this form and mail your application with payment to: USCPFA c/o Hank Williams 46 Hiawatha Dr. Guilderland, NY 12084 For other correspondence: Kirk Huang, Chap. President, USCPFA 9 Hunters Run Blvd, Cohoes, NY 12047 (518) 782-0746
US-China Peoples Friendship Association Northeast (Albany), New York Chapter 9 Hunters Run Blvd, Cohoes, NY 12047 Copyright © USCPFA-Albany 2008. All rights reserved.