Membership with ASACA

ASACA Membership Benefits

• Discount for some ASACA/other organizations’ payable events.
• Free Invitation to some ASACA/other organizations events.
• E-mail reminder prior to any upcoming event.
• Vote to elect the future 11 Board of Directors members.*
• The right to nominate yourself to serve on the next Board.**
• Get informed of issues that concern us as Arab-Americans.

* Eligibility to vote is subject to paying the dues of the election year.
** Nomination eligibility is subject to paying the pre-election year dues too.
The next Board of Directors election will be for the 2010-2011 term.

Membership Renewal Form

First Name	Middle	Last Name:
Job Title:
Spouse First Name	Spouse Middle	Spouse Last Name:
Spouse Job Title:
Children (names & ages):
Address:
City:	State:	Zip Code:
Phone:	Fax:	Mobile:
Email Address:

Membership with ASACA Young Professionals

Name:
Age:
Current Residence:
Telephone:
College/University attended:
Graduation Year:
Major:
Graduate School attended:
Graduation Year:
Type of Program:
Current Occupation:
Location:
Job Description:
Future Interest/Post Graduate Studies:

Enclosed is my:
(please check one)

Family membership fee of $50.
Individual membership fee of $35.
AYP* membership fee of $15.

*AYP, ASACA Young Professionals, is for students, residents and fellows.

Do you authorize ASACA to publish this information on its website with access granted to members only?

Your name: Yes No
Your address: Yes No
Your phone: Yes No
Your e-mail: Yes No

Method of Payment:

Credit Card:
PayPal (payment on next page)

Check:
Please mail check, payable to ASACA.
P O Box 1425
Troy, MI 48099

Please note that ASACA membership will no be active until payment is recieved.

ASACA is a non-profit, tax-exempt 501 (c) 3 organization.