MEMBERSHIP
Membership of ACHA is open to adults of any nationality, religion, or ethnic background, who
  1. Dedicate themselves to its objectives, and its mission;
  2. Agree to follow the ACHA Declaration of Commitment in their day to day conduct;
  3. Complete ACHA Membership Application; and
  4. Pay annual dues.
MEMBERSHIP APPLICATION Please write legibly, preferably in capital letters, and mail it with a check made out to ACHA, to ASSOCIATION FOR COMMUNAL HARMONY, 17465 SE Sunnyside, Boring, OR 97009. Please TYPE or PRINT.
NAME: ______________________ ______________________ ______________________
Mr/Miss/Mrs/Dr
Last
First
Middle
 
ADDRESS: _________________________________________________ _______________________________
P.O Box or Street Address
Apt. #
 
______________________ ______________________ ______________________ ______________________
City or Province
State
Zip Code/PIN
Country
 
PHONE: (_____)_____________________ (_____)_______________________ (____)______________________
Day 
Evening
Fax
 
_____________________________________________ _____________________________________________
Email address
Web Page Address
 

CHECK ENCLOSED: DUES (Check one) Individual $10_____ Couple $20 ______ Family $25______

 TAX DEDUCTIBLE DONATION $ __________ TOTAL AMOUNT ENCLOSED $ _______

Any information about yourself that you would like to share with us:

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