Membership Application/Update Form
Name: _________________________(Chinese) Mr/Mrs/Ms. ________________________(English)
Affiliation: _____________________________________________________________
Job Title: ______________________________________________________________
Mailing Address:
___________________________________________________________________________________
Phone: Office( ) ____________________ Home( ) _________________________________
Fax: ( ) ___________________ E-mail:_______________________________________________
Education:
Institution Major Degree Date
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Recent Publications/Activities/News (Please Print)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Signature: ______________________ Date: __________________________________
Name: _________________________(Chinese)
Mr/Mrs/Ms. ____________________(English)
Affiliation: ______________________________
Job Title: _______________________________
Mailing Address:
______________________________________
______________________________________
Phone:
Office( ) ____________________________
Home( ) ____________________________
Fax: ( ) _____________________________
E-mail: _______________________________
Education:
Institution – Major – Degree – Date
_____________________________________
_____________________________________
_____________________________________
Recent Publications/Activities/News (Please Print)
_____________________________________
_____________________________________
_____________________________________
Signature: __________________________
Date: _______________________________
3-year Membership due $50.00 (is)(is not) attached. Student Membership due $10.00 (is)(is not) attached. Life Membership fee is $200.00. Make check payable in U.S. dollars to Chinese Economic Association in North America or CEANA.
To: Professor Jen-Chi Cheng
Box 78 Wichita State University
Wichita, KS 67260-0078, U.S.A.