Registration - Turkish American Association of Arizona

Turkish American Association of Arizona
(TAA-AZ)

Registration

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First Name:
Middle Name:
Last Name:
Date of Birth (MM/DD):
Birthplace:
Years in AZ:
Marital Status:
Phone (XXX) XXX-XXXX:
Address:
Occupation:
Education:
Employer/School:
If self employed, would you like to share business info at TAAAZ Website:	Yes No
Business name:
Business location:
Business phone:
Business description:
Business website:
I would like to support TAA-AZ in the following areas:	New event planning Voluntary work Donations
I would like TAA-AZ to deliver on the following areas:
Email:
Username:
Password:	Your password will be sent to the above e-mail address. Once you have received your new password you can log in and change it.
Do you want to join our mailing list?:	Yes No

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After submitting your registration form, you can pay the membership fee using the form below.