KCCSF Membership Application - download

 

 Download >>>>>  membership_application_form.pdf

 

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KCCSF Membership Application

I/We agree to support the Korean Cultural Center of San Francisco (KCCSF) in accordance with the dues structure approved by the KCCSF Board of Directors. Membership dues for renewal are payable on the anniversary date of membership KCCSF is a 501(c) (3) non-profit organization. Dues are deductible as a charitable contribution.

£ Regular  £ Family  £ Senior  £ Student  £ Non-Profit Organization

 

Name

:

 

Business/Organization

:

 

Address

:

 

Mailing Address

:

 

City

:

 

State & ZIP

:

 

Phone

:                                                        Fax :

 

E-mail

:

 

Web Site Address

:

 

 

 

Membership Dues

Regular £

$35.00

Family £

$50.00

Senior £

$25.00

Student £

$25.00

Non-Profit Organization £ 

$75.00

TOTAL

 

 

Signature & Date___________________________________________________

If you have questions regarding this form or would like further information please call
the KCCSF office at (415) 859-9483 or e-mail us at
info@kccsf.org

 

Return application by mail or fax to: (415) 494.5657

KCCSF

4000 19th Avenue

San Francisco, CA 94132