Myanmar Association, Inc. (New York) Membership

Myanmar Association, Inc. Membership Application

Name : Age (optional) :

Address :

City/State/Zip :

Country :

Home Phone : Business Phone :

E-mail Address :

Personal Homepage (if any) :

Membership Type (Check One) :

Member (UN organizations) : Please specify (UN, UNDP, etc.) :

Associate Member : City/State/Country :

Virtual Member (Net) : City/State/Country :

Membership Status (Check One) :

New : Renewal :

Yearly Membership Due : $20 Year : Member since :

Your Signature (name) :

I have read the Mission Statement and the Constitution of the Myanmar Association Inc., (New York) and agree to abide by the rules of the said association.

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