Asian Center
Membership Application Form
The Asian Center aims to promote a service network for program planning and resource development, mutual support and interaction, among Asian people and other ethnic groups. Please join us for this cause.
Name: Telephone:
Address:
Work Telephone: Fax:
URL: E-mail:
Organization: Specialty:
Occupation: Spouse/Children:
Dues: Individual $15 Organization $50 Family $20
Student $5 Patron $100 Family/Life Long $500
I am interested in participating/attending (A), designing (B), conducting (C) the following activities. Please indicate A, B, C in the following spaces.
QiGong Yoga Martial Arts Training Asian Translators Bank
Language Class (Specify Language ) Fund Raising Programs
Volunteer to Help Cross-Cultural Couples Networking
Design and Conduct Educational Workshops or Research
Asian Educators/Staff Club Asian Women's Club
Asian Helping Professionals Asian Medical Professionals
Asian Entrepreneur's Club Asian Engineers' Club
Therapeutic Workshops, Such as:
Public Speaker on Specific Asian Issue, i.e
Other (i.e. Asian Traveling Tours)
Signature:___________________________________Date:_____________________
Make check payable to: The Asian Center
Please mail your completed form to the following address:
The Asian Center
GVSU DeVos Center Suite 359C
401 West Fulton Street
Grand Rapids, MI 49504
Type of Membership:
Amount Enclosed:
Asian Center