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| Authorized Signature: ______________________ |
Date: _____________ |
| Name: __________________________ |
Title: ___________________________ |
| Organization: _________________________ |
Department: _________________ |
| Address:
__________________________________________________________________________ |
| City: _________________________ |
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| State & County: _________________ |
Zip/Post Code: ___________ |
| Phone: ____________________ |
E-Mail: _____________________ |
Check/money order
enclosed. Check/Money Order # _______________ |
VISA/MasterCard/AmEx Charge: A/C #: __________________________________ Exp: ___ / ___ |
Make your check payable to the AAS in US dollars
drawn on a US bank or by International Money Order. SEND TO: Association for Asian
Studies, 1021 East Huron Street, Ann Arbor, MI 48104; Fax: (734) 665-3801. |
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