Member Application (Couples) MEMBER ONE Name * First Name Last Name Email Address * Phone (###) ### #### Gender * Select Male Female Date of Birth MM DD YYYY If you are interested in joining a committee, please select from the options below. If you are not interested in joining any committees at this moment, please leave this section UNCHECKED If applicable, select all that apply (OPTIONAL) Building Administration Community Service Culture & Education Marketing Membership Parent Engagement Social & Entertainment Sports Check here if Member 1 is between the ages of 16 and 30 and would also like to become a member of the Assyrian Student Association (ASA). Any individual who applies for AACO membership and meets the criteria for ASA may be granted ASA membership at no additional cost beyond your AACO membership. Optional Yes, Member 1 is between the ages of 16 and 30 and would also be interested in joining the ASA. MEMBER TWO Name First Name Last Name Email Phone (###) ### #### Gender * Select Male Female Date MM DD YYYY If you are interested in joining a committee, please select from the options below. If you are not interested in joining any committees at this moment, please leave this section UNCHECKED If applicable, select all that apply (OPTIONAL) Building Administration Community Service Culture & Education Marketing Membership Parent Engagement Social & Entertainment Sports ADDRESS You must both reside in the same address in order to qualify for the couples rate. * Address 1 Address 2 City State/Province Zip/Postal Code Country Check here if Member 2 is between the ages of 16 and 30 and would also like to become a member of the Assyrian Student Association (ASA). Any individual who applies for AACO membership and meets the criteria for ASA may be granted ASA membership at no additional cost beyond your AACO membership. Optional Yes, Member 2 is between the ages of 16 and 30 and would also be interested in joining the ASA. Additional information you would like to share If you were referred by someone type their name here First Name Last Name Email Contact Preference * Required By checking this box I am giving permission for AACO to send me newsletters, promotional messages, and general communication to the email address I have provided in this form. SMS Contact Preference Optional By checking this box I am giving permision for AACO to send me text notifications and updates on upcoming events Thank you for applying for membership with the Assyrian American Cultural Organization. We’re excited to welcome you to our community! Your dedication to preserving and promoting Assyrian culture is truly valued, and we look forward to connecting with you.
