| Last Name | First Name | ||||
| Chinese Name | |||||
| Street Address | |||||
| City | State | Zip | |||
| Home Phone | Work Phone | ||||
| Email Address | |||||
One Year Membership Fee:
_ Regular $30
_ Yes _No
Please print and fill out the application form and then send it with your check (payable to China Rainbow Association or CRA) to: CRA, 1474 Vista Del Valle Way. La Habra Heights, CA 90601. If you have any questions, please email cra_info@yahoo.com