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Please Print Out and Fill Out

Please Print Legibly


NAME:_______________________________________

ADDRESS:___________________________________

_____________________________________________

CITY/STATE/ZIP:_____________________________

EMAIL: ______________________________________

PHONE: ______________________________________

SCHOOL: _____________________________________

GRADE: ______


Male / Female (circle)

Please check one:
O $10 Youth: middle school/high school
O $10 Youth: under 21 and out of school
O $15 Alumni: under 21 and in college
O $20 Adult: over 21 years old


Please make checks payable to: CAPAY.(Cash is also acceptable.)
And send to:
CAPAY, c/o Asian American Studies, UMass Boston,
100 Morrissey Blvd.
Boston, MA 02125-3393


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Another Way to Join
You can also join CAPAY by coming to some of our events. Check out our Updates section for more info. Click here.
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