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Philippine-American Society of Colorado (PASCO)

 

MEMBERSHIP FORM

 

 

 

 Type of Application

 

New Member

Renewal

Info Update

     

 

 Personal Information

 

First Name

 

 

 

Last Name

 

 

 

Street Address

 

 

 

City

 

 

 

State/Province

 

 

 

Zip/Postal Code

 

 

 

Country

 

 

 

Phone

 

 

 

E-Mail

 

 

 

 

Please do not publish my name in the PASCO Directory.

 

 

 Comments

 

 

 

For New Members and Renewal: Please submit completed form and membership fee (Adult - $10; Senior/Youth - $5; Family - $25) to any of the PASCO OFFICERS or mail completed form and check made-out to PASCO to Robert Lomboy, 16687 E Hialeah Ave, Centennial, CO 80015.

 

 

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