University of the Philippines
Alumni Association of Central California
Established 1982
 
 
 

UPAACC Membership Application

Thank you for your interest in joining UPAACC. Please fill out the following form and click SUBMIT. The information you submit will be sent to us directly through email, and will be kept confidential


Name:
*
UP Degree:
* Year Obtained: *
Other Degree:
School:
Other Degree:
School:
Spouse:
Address:
*
City:
*
State/Province:
* Zip: *
Telephone Number:
*
Email Address:
*
Type of Membership:
Lifetime ($150) Regular ($25)
Membership Fee Sent?:
No     Yes    Date Sent:


Note: Items with * are required.         


You may send your membership fee using check or money order made payable to UPAACC. Please indicate "UPAACC Membership"on your check or money order and send to:

Chola Pascua
Treasurer, UPAACC
1416 Beverly Avenue
Clovis, CA 93611
USA

Thank you very much for your support.

 
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