NATIONAL ASIAN PACIFIC AMERICAN LAW STUDENT ASSOCIATION

							                         NATIONAL ASIAN PACIFIC AMERICAN LAW STUDENT ASSOCIATION
                                                  (NAPALSA)
                                      2009-2010 Chapter Membership Form

                         Complete the following membership form and send it along with your membership dues to
                         the address below. Please note that membership dues cover the Academic Year from
                         August 1, 2009 – July 31, 2010.


School Name and Contact Information (address, phone, website address):




Name of APALSA Liaison/Contact:

APALSA Contact Information (if different from above):




Contact Telephone: (            )

APALSA Contact or Organization Email:

Year APALSA founded:                               Number of Years Chartered with NAPALSA:

Number of 2008-2009 Members:                    Current or Projected Number of 2009-2010 Members:

Do you plan on attending this year’s conference in Boston, MA (November 18-22, 2009 )?

        Yes              No                Maybe

For more information about the National Conference, held in conjunction with the National Asian Pacific American
Bar Association (NAPABA) Annual Convention, please see www.napaba.org or www.napalsa.com or contact
NAPALSA President, Ginger Bredemeier, at president.napalsa@gmail.com, or by telephone at 916.205.8669.


Annual Membership Dues:
·    $75 → Postmarked on or before September 30, 2009
·    $115 → Postmarked after October 1, 2009

Form of Payment:      □ Check Number __________                □ Cashiers Check/Money Order

Please make all checks payable to “NAPALSA” or "National Asian Pacific American Law Student Association" and
send to (address valid until December 31, 2009):
                                                 Phillip D. Lee
                                                 NAPALSA Treasurer
                                                 2115 E. 18th Street Apt. B
                                                 Austin, TX 78702
                                                 pdlee@mail.utexas.edu


                                             For Administrative Use Only:

        Postmark Date: _________________    Date Received: _________________   Date Deposited: ________________

       NAPALSA Region:                             Notification to RD: