Community Association of Pakistani Americans

(A non-profit Community organization of Pakistani Americans of Central Ohio)

Membership Form (New/Renewal) 2020

Basic data

Member Name*:

Spouse Name*:

First
Middle
Last

Address*:

Street Address
Apt #
City
State
Zip Code

Family data

Contact data

Note: Slide To Input More Data

Name of kids u/18 living w/member

First

Last

Email*:
1

Alternate Email:

2

Phone (C)*:
3

Phone (H):
4

Phone (W):
5

Include area code with the phone numbers

* Required information

Check the type of membership desired

One-time dues cover two adults and up to five kids under 18 years of age living with the member

One-time dues cover one adult and up to five kids under 18 years of age living with the member

Annual dues cover two adults and up to five kids under 18 years of age living with the member

Annual dues cover one adult and up to five kids under 18 years of age living with the member

Registered students of a college/university

**Annual dues are for Calendar year (January 1 – December 31)

How can you help CAPA in conducting social and cultural activities?