TACAS Book Club Membership Form



English name: Chinese name:      

Phone Number(Home):       (Work):

E-mail:

Address:

Annual Dues: $20.00 (Membership Dues cover the full calendar year, from January to December.)

   Cash
   Check     Check Number:    (Payable to TACAS Book Club)
   Donation    Check Number:    (Payable to TACAS Book Club)

Interests:

Voluntary Areas:
New member: Membership renew:
Veteran member, the above data have been updated.

Date:
Note:

Please fill out the above information, and print out this form.


Send this form and your check to:

TACAS Book Club
P.O. Box 464
Cary, NC 27512


Please mail to: Webmaster if you update your information (i.e. address or phone number changes) only.