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"Established 1985, FAPAC is the oldest and most active organization of Asian Pacific Americans in Government."
 
Member Registration
  
 Personal Information :
Prefix Other
First Name *   Last Name *  
Middle Initial
Suffix Other
Email id *   Mobile No
Phone *   Fax No.
Address *  
State *  
Zip Code *    
 Business Information :
Agency/Company *  
Other
Type of Employment *  
Other
Series *  
Other
Position Title
Employment Status *  
Federal Grade *  
Series Number *  
Business Name
Business Address
Business Zip Code Business Fax
Business Phone             
 Other Information :
Permission to receive distribution other than FAPAC official business e-mail 
Permission for the release of personal contact information
Volunteer preference for FAPAC Committees







Remarks

I certify that the information provided on this form is true and correct to the best of my knowledge. I understand that falsification of information on this form may be grounds for denying the FAPAC membership.
    
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