CAFA Membership Application

1. Complete the following form.
2. Membership fee: $10 (Annual) or $100 (Lifetime)
3. Please make check payable to CAFA and mail it with the form to: Prof. Edward Hsieh <ehsieh@calstatela.edu>, Department of Economics and Statistics, CSU at Los Angeles, 5151 University Dr., Los Angeles, CA 90032

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Name: ______________________ (English) __________________ (Chinese)

Spouse: _____________________ (English) __________________ (Chinese)

Address (Office):

_____________________________________________________________

Address (Home):

_____________________________________________________________

e-mail:____________________ web-page: _________________________

Telephone: __________________ (Office) ____________________ (Home)

FAX : _______________________ (Office) ____________________ (Home)

Academic position (e.g., Asso. Prof. of Music): _______________________

Institute: ________________________________________

Academic Background: Doctorate ________________________________

Academic Background: Master ___________________________________

Academic Background: Bachelor _________________________________

Academic Background: Others ___________________________________


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