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  • New Ajs Member Application

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    NYCDAJS
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    The document is an application for membership in the Asian Jade Society. It requests basic contact information from applicants such as name, address, phone numbers, email, date of birth, and signature. It also asks for employment details like facility, rank, date of promotions. Membership costs $35 for new members and $25 to renew. Completed applications should be mailed to the Asian Jade Society.

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    The document is an application for membership in the Asian Jade Society. It requests basic contact information from applicants such as name, address, phone numbers, email, date of birth, and signature. It also asks for employment details like facility, rank, date of promotions. Membership costs $35 for new members and $25 to renew. Completed applications should be mailed to the Asian Jade Society.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    246 views1 page

    New Ajs Member Application

    Uploaded by

    NYCDAJS
    The document is an application for membership in the Asian Jade Society. It requests basic contact information from applicants such as name, address, phone numbers, email, date of birth, and signature. It also asks for employment details like facility, rank, date of promotions. Membership costs $35 for new members and $25 to renew. Completed applications should be mailed to the Asian Jade Society.

    Copyright:

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    ASIAN JADE S CIETY

    MEMBERSHIP APPLICATI N
    Last Name: _____________________ FIrst Name: _______________________________

    Street Address: _______________________________________ Apartment #: _______

    City: ___________________________ State: __________ Zip Code: ___________

    Home Telephone: (______) ________-____________

    Mobile Phone: (______) ________-___________ Male / Female

    Date of Birth: ______/______/______ Date of Appointment: ______/______/______

    E-Mail Address: ______________________________________________

    Facility: __________________ Rank: _____________ Shield: ______________

    Date of promotion to Captain: ______/______/______

    Date of promotion to A.D.W: ______/______/________

    New Member $35


    Renew $25

    Your Signature: _____________________________________________ Date: ___/___/____

    Mail to: NYC Correction Office use only


    Asian Jade Society
    Approved
    P.O. Box 130003
    Chinatown Station Not Approved

    New York, N.Y. 10013-0980 Reason: ________________

    E-Mail: nydcajs@gmail.com

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