The Filipino American Association of North Texas, Inc, a non profit 501 ( c ) ( 3 ) organization
( A NaFAA affiliate-National Affiliate of Filipino American Associations)

Membership Profile

Check One :New_________Renewal_________-------------- ______ Today's Date____/____/_____
Name__________________________________________________Birthday_____/_____/____ Spouse________________________________________________Birthday_____/_____/____
Wedding Anniversary ____/_____/_______

Address_______________________________________ City______________ Zip Code_______
Home Phone______________________________ Business Phone_______________________
E mail Adress________________________

Name of Family Members (Dependents only) in the same household:
Relationship, Birthdays & School attended

CHECK ONE: I like to volunteer for:___ Fil-Am North Star Chorale

____Program Committee : ___Newsletter Staff

Membership Information: Membership is $10.00 per person (18 yrs or older) or $15.00 per family. Senior Citizens, 62 years and older,or full Time Student (18 25 years old may register for free and do not need to pay membership dues.Membership dues is charged annually and is due the first of every year, regardless of when a member registered

Make check payable to; The Fil-Am Association of North Texas, Inc and mail to:

P.O. Box 331868
Fort Worth, TX 76163-0757
** Due to the Privacy Act of 1974 we cannot disclose the actual birthday of each member.
Check here ____ if you desire/wish to publish your actual date of birth and anniversary

I hereby apply for membership in the Filipino-American Association of North Texas,Inc,
and agree to abide By the Constitution and by-laws of the Association.


Print this form and mail with your membership fee.