AANC Online Annual Membership Registration Form

AANC Online Annual Membership Registration Form

The completion of this online form will initiate your AANC associate membership registration process.
Please answer the questions below to the best of your ability. You will be promptly contacted concerning
the next steps of your membership. Thank you very much for being part of our fine corporation.

* required field
Personal Information
First Name *:
Middle Initial:
Last Name *:
Street Number *:
Street Name 1 *:
Street Name 2:
City/Town:
State *:
Zipcode *:
Country *:
Phone Number:
Cellphone Number:
Date of Birth (mm/dd/yy) *: 19
Personal email *:
Personal email (verify) *:
Occupation:
Would you like to volunteer with AANC?
    Yes No
Business Information
Business Name:
Contact Person:
Street Number:
Street Name 1:
Street Name 2:
City/Town:
State:
Zipcode:
Country:
Phone Number:
email:
email (verify):
Membership Information
New Membership Renewal Gift Membership
AANC Member ID:
(if applicable)
Associate Membership Type*
Method of Payment *:
   Please send us your comments or questions:
   
Please note: All donations, contributions, gifts, personal assets and/or membership fees and dues made or paid to the ASIAN-AMERICAN NATIONAL COMMITTEE, INC., are considered by the IRS as charitable contributions for federal income tax purposes, thus said financial and/or property contributions are duly and fully tax-deductible pursuant to the 501(c)(3) tax-exempt section of the IRS code and related federal and state laws. Please check with your federal and state tax laws and/or consult with your attorney of same.

If you prefer to print this form for mail-in registration, please return it, by U.S. Postal Mail to:

ASIAN-AMERICAN NATIONAL COMMITTEE, Inc.
National Corporate Headquarters
P.O. Box 240883
Dorchester, MA 02124    U.S.A.

Payment of membership fees and dues may also be done by calling: 617-997-6635