NAME: _____________________________________________________

Company Name, if any: ________________________________________

ADDRESS: __________________________________________________

TELEPHONE: Area Code: ______ Number: _______________________

EMAIL ADDRESS: ____________________________________________

I am in agreement with the goals of the Oregon-Fujian Sister State Association (OFSSA). It is in the best interests of the state of Oregon and the province of Fujian, as well as the United States of America and the People’s Republic of China, for the citizens of Oregon and Fujian to seek opportunities to improve understanding, respect and mutual prosperity through enhanced business, commerce, tourism, and educational relationships.

I desire to be a member of OFSSA, and I understand my dues will be used to assist in the achievement of OFSSA’s goals.

Signed: ______________________________

TYPE OF MEMBERSHIP:

INDIVIDUAL ( ) (Annual dues: $50)

BUSINESS/ORGANIZATIONAL ( ) (Annual dues: $150)

MAIL TO: Mr. Ed Young