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        KAWAWA Membership Application

I/We agree to support the Korean American Women Artists & Writers
Association (KAWAWA) in accordance with the dues structure approved
by the KAWAWA Board of Directors. Membership dues for renewal are
payable on the aniversary date of membership. KAWAWA is a 501(c)(3)
non-profit organization. Dues are deductible as a charitable contribution.

          Business/Organization
          Non-Profit Organization
          Individual

Name

:

Business/Organization

:

Address

:

Mailing Address

:

City

:

State & ZIP

:

Phone

:                                                                       Fax :

E-mail

:

Web Site Address

:
 

Membership Dues

                                                         

BUSINESS/ORGANIZATION

  $250.00

NON-PROFIT

   $50.00

INDIVIDUAL

  $35.00

Additional Contribution
(not required for membership)

 

TOTAL

 

  

Signature & Date________________________________________________

 

If you have questions regarding this form or would like further information please call
the KAWAWA office at (415) 252-5828 or e-mail us at kawawa@kawawa.org.

Return application by mail or fax to: (415) 252-5829

KAWAWA
745 Buchanan Street
San Francisco, CA 94102