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NanuGo Membership Registration Form
1. Please write your legal name below from your passport or birth certificate.
2. NEW MEMBERS ONLY : Email us a copy of your passport or birth certificate to verify your name, birthday and status in the U.S. This information is vital when we apply for the PVSA.
3. Only U.S. citizens and green card holders will be able to apply for the PVSA.
4. The Membership fee must be paid and the signed agreement on the last page of the NanuGo Manual must be submitted in order to complete the registration process.
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Email *
Are you a new member or returning member? *
What is your FIRST name?  *
What is your MIDDLE name (if any)?
What is your LAST name? *
When is your birthday? *
MM
/
DD
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YYYY
What is your phone number? *
What is your current home address?  *
Please specify your sex. *
What is the name of your school? *
What grade are you in?
Write down your rising grade if you are registering during summer break.
 *
What is your status in the U.S.? *
What is the name of your club? *
Which division is your club part of? *
What position are you assigned in NanuGo? *
How long have you been a member of NanuGo? *
Who referred you to NanuGo (if any)?
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