Vietnamese Students Association of Shoreline Community College, Seattle, WA ____________________________

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This site is under
heavy construction
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Please check back regularly for updates

Visited since 02/11/02

VSA Registration Form
MEMBER INFORMATION
Your First Name:
Your Last Name:
Address:
City:	State: Zip Code:
Country:
CONTACT INFORMATION
Your email address: (e.g.: yuremail@hotmail.com)
Your homepage:
Your phone number (with area codes):
STUDIES
What is your major:
Plan of studies:	2 years 4 years Other
Your interests and/or hobbies:
Would you be interested in running for office:	YES NO
Would like to be actively involve with VSA:	YES NO
Would you like help for related school work:	YES NO
Your suggestion and/or comment:

YOUR PRIVACY RIGHT: The information collected will only be use exclusively for contact and statistic purpose so that it can help us plan the year agenda. Your information will not be sold or given out without your consent. Thank you for your support.

Vietnamese Students Association

16101 Greenwood Avenue North
Shoreline, Washington 98133
(206) 546-4654
(206) 546-4599 FAX