AARO Prague Membership Application

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Please either return this form via mail or copy and paste the questions into an email message, add your answers, and send the form to aaroprague@pragmatica.cz or print it out and fax it to: +420 251 551 017. Thank you.

Name: ________________________________________

Prague Address: ________________________________

Telephone Numbers: (Home): _____________________________ (Office) ______________________________

Email Address: : ______________________________

U.S. Citizen Applicant __ Yes __ No

Spouse __ Yes __ No

Retired __ Yes __ No

Length of time outside U.S ________________________

What is your occupation or professional expertise?_________________________________________


What issues are your major concerns as an American residing overseas?

______________________________________________________

______________________________________________________

______________________________________________________


Are you willing to volunteer some time to support AARO projects? __________

If so, which areas are of most interest? (Check all that apply.)

__ Citizenship __ Tax __ Voting __ Newsletter

__ Membership __ Public Info __ Events __ Office

Other: _______________________________