Membership Form

I wish to become an Associate of the Asian Cultural Arts Society. Enclosed is my annual
dues payment of $40.00 for one year.

My interests in Asian culture include:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

I have the following expertise that I would like to share with the Society and community:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Name (Please print:) _______________________________________________________

Address: _________________________________________________________________

Town/City: ________________________________________________________________

State: _____________ Zip: ________________

Overseas Address: ________________________________________________________ 

Phone: __________________________________________________________________

Email: ___________________________________________________________________

Website: _________________________________________________________________

If you are interested in supporting and being part of this Society, return the application with annual dues payment of $40.00 to:

Kin Tatsu Kai, Inc.
Asian Cultural Arts Society
Box 67
Raritan, NJ 08869