MEMBERSHIP APPLICATION FORM Name: ________________________________ Address: _____________________________ ______________________________________ Telephone: (day)___________________________ (evening): ____________________________ Email: ____________________________________ Family Members: (include ages of children): _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ Committee Preferences: (Scholarships, Membership, fund Raising, Auction): _________________________________________ ______________________________________ Special skills/Talents (Speak other languages, etc?) _________________________________________ ______________________________________ I, the undersigned, do hereby apply for membership to the Asian-American Foundation of Oregon (AAFO) and pledge to support the mission of the AAFO which is to contribute toward the education of the general public on Asian and Asian-American cultures by providing scholarships for higher education, sponsoring exhibits and lectures in schools and in the community and by establishing an Asian-American Cultural Education Center in Eugene, Oregon. I also hereby agree to pay the required $10 per person or $20 per family membership dues. I understand that my membership benefits include the right to vote at the annual membership meetings, and event announcements and newsletters. __________________________________________ _________________________________________ Signature of Applicant Date ----------------------------------------------------------------------------------------------------------------------------------- For Board Use Only The above application was approved on date: _____________________________ by the AAFO Board of Trustees. ________________________________________ _________________________________________ Check #_______________________ Co-Chair, Membership Committee Date