PHILIPPINE AMERICAN ASSOCIATION OF MIDDLE TENNESSEE United we stand strong.

MEMBERSHIP FORM
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NAME(S) Member: Spouse: Child: Child: Child: Child: ANNUAL MEMBERSHIP FEE (Renewal Date January 1st) Family $20 New Individual $15 Renew I WISH TO VOLUNTEER IN THE FOLLOWING COMMITTEE(S):
SPECIAL GROUPS Youth / Young Adult Group Senior Group Fund Raising Medical Mission Community Service

BIRTHDATE(S) (Month Day)

EVENTS & PROGRAMS Cultural Events & Program Social Events & Programs Cultural Dance Troupe Choral Group

SPORTS Bowling Basketball Cheerleading Volleyball

Please make your check payable to PHIL-AM ASSOCIATION of MIDDLE TN and mail your payment with this form to:

PHIL-AM ASSOCIATION of MIDDLE TN P.O. BOX 8057 HERMITAGE, TN 37076 COMMENTS:

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PHILIPPINE AMERICAN ASSOCIATION OF MIDDLE TENNESSEE

Membership Receipt Date Recd: CASH: $ Authorized Signature: Members Name: or CHECK # $ Renewal Year: 20 Position: