Yes, I/we would like to join the FCAM as a member.
Enclosed my/our annual dues of:

(  )	$35	 Charter Membership Renewal
(  )	$50	 Individual Membership
(  )	$500     Annual Corporate Member

I would also like to HELP!!!:

(  ) 	$100	Friend
(  )	$500	Sponsor
(  )	$1,000	Donor
(  )    $5,000	Bronze Patron
(  ) 	$______

Name            _______________________________________________________

Organization    _______________________________________________________

Street Address  _______________________________________________________

City/State/Zip  _______________________________________________________

Day Phone       _______________________________________________________

E-Mail Address  _______________________________________________________


     Please make checks payable to "FCAM".
     Print this form and mail it along with your check to: 

     Friends of the Chinese American Museum
     125 Paseo de la Plaza, Suite 400
     Los Angeles, CA  90012

All donations are tax deductible to the fullest extent allowed by law (FCAM EIN #95-4176897)