Membership Application/Update
for
South Bay Taiwanese Association (SBTA)
南 灣 臺 灣 同 鄉 會

Date: ____________
  Member Spouse
Hanji Name: ___________________________________ ___________________________________
English Name: ___________________________________ ___________________________________
Address: ____________________________________________________________________
      No. Street
  ____________________________________________________________________
      City State            Zip
Home Phones: ___________________________________  
Cell: (______)___________________________ (______)___________________________
Email: ______________________@____________ ______________________@____________
Annual Membership Fee:
  ______ $20 (Couple)
  ______ $10 (Single)
Or Permanent Membership Fee:
  ______ $200 (Couple - New member)
  ______ $100 (Single - New Member)
  ______ $180 (Couple - Old member)
  ______ $90 (Single - Old Member)

The fiscal year of SBTA starts in September.
The annual membership fee is $10 per each person which is due on the annual meeting day in September.
However, the membership fee will be half amount for those who join in the SBTA as a new member
in June, July and August. You also may pay Permanent Membership Fee, the amount is listed above.


Please make your check payable to SBTA and send to:

Pishun Lin
1407 Mt. Shasta Ave.
Milpitas, CA 95035