Last Name (English/Chinese): First Name (English/Chinese): Home Phone: Office Phone (optional): Address: City: Columbia State: MO Zip Code: Email (required if available): Membership fee is $25 per family and $15 per single. Please make the check payable to Mid-Missouri Chinese Association, or MMCA. Please print out and fill this form, and mail it with check to Xuechang Li (4405 N. Pinebrook Ln., Columbia, MO 65203)
Last Name (English/Chinese):
First Name (English/Chinese):
Home Phone:
Office Phone (optional):
Address:
City: Columbia
State: MO
Zip Code:
Email (required if available):
Membership fee is $25 per family and $15 per single. Please make the check payable to Mid-Missouri Chinese Association, or MMCA.
Please print out and fill this form, and mail it with check to Xuechang Li (4405 N. Pinebrook Ln., Columbia, MO 65203)
