Join OCA Today! Be a part of a meaningful network of concerned Asian Americans in the pursuit of equal opportunity, equal rights, equal treatment, and equal justice. Tel: Fax: Website: OCA Westchester 445 Hamilton Ave, SUITE # 1102 White Plains, NY OCA Westchester & Hudson Valley 445 Hamilton Avenue, SUITE # 1102 White Plains, New York “ Embracing the hopes and aspirations of Asian Americans in the United States.” First Class Stamp OCA Westchester & Hudson Valley MEMBERSHIP APPLICATION Xiaochun Luo President Jenny Kho Xin Zheng VP-Membership

What Is OCA ? 2009 Membership Application OCA is a national organization dedicated to advancing the social, political and economic well- being of nearly 12 million Asian Pacific Americans in the United States. Founded in 1973 by Chinese Americans, OCA, with headquarters in Washington, DC, now has over 80 chapters and affiliates across the nation. OCA seeks to: Advocate for social justice, equal opportunity and fair treatment; Promote civic participation, education, and leadership; Advance coalitions and community building; and foster cultural heritage. To achieve these goals, OCA is engaged in organizing its 80 chapters and affiliates across the nation to develop both leadership and community involvement. OCA chapters and organizational and college affiliates are establishing strong local programs in all parts of the country. OCA’s base in Washington, DC gives the national office an effective vantage point for monitoring legislation and policy issues affecting Asian Pacific Americans. In addition, OCA is able to build national support and to work in coalition with other national groups around issues affecting Asian Pacific Americans. OCA takes no collective position on the politics of any foreign country, but instead focuses on the welfare and civil rights of Asian Pacific Americans in the United States. Please tell us about yourself and your interests: ___________ ___________ __ ___________ __________ ___________ __________. ___________ __________ Your Name: (English) ______________________________________(Chinese) ____________________________ Spouse’s Name: (English) __________________________________(Chinese) ____________________________ Please complete all the following information requested: Your Occupation: _________________________________________US Citizen? Yes / No Resident? Yes / No Company: _______________________________________________Work Phone: _________________________ Spouse’s Occupation: ______________________________________US Citizen? Yes / No Resident? Yes / No Company: _______________________________________________Work Phone: _________________________ Home Address: ___________________________________________Home Phone: ________________________ City: ___________________________ State: _____ Zip: _________Fax Number: _________________________ Electronic Address: ________________________________ Total number of Family members: __________ Please list children below: Your Name: (English) ______________________________________(Chinese) ____________________________ Spouse’s Name: (English) __________________________________(Chinese) ____________________________ Please complete all the following information requested: Your Occupation: _________________________________________US Citizen? Yes / No Resident? Yes / No Company: _______________________________________________Work Phone: _________________________ Spouse’s Occupation: ______________________________________US Citizen? Yes / No Resident? Yes / No Company: _______________________________________________Work Phone: _________________________ Home Address: ___________________________________________Home Phone: ________________________ City: ___________________________ State: _____ Zip: _________Fax Number: _________________________ Electronic Address: ________________________________ Total number of Family members: __________ Please list children below: Your Name: (English) Last __________________ First _____________(Chinese) ________________________ Spouse’s Name: (English) ___________________________________(Chinese) ________________________ Please complete all the following information requested: Your Occupation: _________________________________________US Citizen? Yes / No Resident? Yes / No Company: _______________________________________________Work Phone: _________________________ Spouse’s Occupation: ______________________________________US Citizen? Yes / No Resident? Yes / No Company: _______________________________________________Work Phone: _________________________ Home Address: ___________________________________________Home Phone: ________________________ City: ___________________________ State: _____ Zip: _________Fax Number: _________________________ Electronic Address: ________________________________ Total number of Family members: __________ Please list children below: English NameChinese NameSexDate of Birth (mm/dd/yyyy) Annual Membership Fees: Please circle one, make check payable to “OCA Westchester” and return form with check to: OCA-WHV Chapter, P.O. Box 541, White Plains, NY New Member: Renewed Member: Total Amount Paid: $__________ 2009 SPECIAL RATES → Family: $50/yr; Individual: $40/yr; Student/YOCA: $10/year OCA Century Club: $100/yearOCA American Club: $250/year Lifetime Membership: $1,000 (Individual) or $1,500 (Family) Name: _____________________________Signature: ___________________Date: _____________ Please visit our website at OCA Westchester & Hudson Valley