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Chinese Language Teachers Association of California
Membership Application / Renewal Form
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
M.I.
Your answer
Chinese Name
*
Your answer
Title
*
Choose
Mr.
Mrs.
Miss
Ms.
Prof.
Dr.
Gender
*
Choose
Male
Female
Work Place / School
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Website (if any)
Your answer
Phone
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Fax
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Membership fee
*
New Member Annual $20
New Member Life: $200
Renewal (Annual $20)
Payment Instruction
https://www.clta-ca.org/join-cltac.html
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