Asian American Democrats of Texas

AADT MEMBERSHIP FORM

Become a card carrying member of Asian American Democrats of Texas.

Print this form, fill it out, and send it with your membership dues to:

Raymond Lew, AADT Treasurer
12422 Shadow Island Dr.
Houston, Texas 77082

Membership dues:	Regular two year membership	$20
	Student two year membership	$10
Make checks payable to:	Asian American Democrats of Texas.

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Please Type or Print Legibly

Salutation (Mr., Ms., etc.):__________________________________________

First Name:_______________________________________________________

Last Name:________________________________________________________

Address:__________________________________________________________

City:_____________________________________________________________

State:____________________________________________________________

Zip:______________________________________________________________

E-mail address:____________________________________________________

Home Telephone:___________________________________________________

Work Telephone:___________________________________________________

Cell Phone:_______________________________________________________

Fax:_____________________________________________________________

AADT is a registered Texas Political Action Committee (PAC). Membership dues are not tax-deductible.