text="#000000" bgcolor="#FFFFFF" link="#0000EE" vlink="#551A8B" alink="#FF0000"> Please print and send this completed application form along with your check made out to
The Goan Association of New Jersey Inc., P. O. Box 335, Cranbury, N.J. 08512.

GOAN ASSOCIATION OF NEW JERSEY, INC.

APPLICATION FORM

I wish to become a member of the Goan Association of New Jersey, Inc.
Enclosed is a check to cover the family membership.
(Note: Membership is based on a calendar year (Jan. 1 thru Dec. 31)
Check one:  _____$30 (2 years)
_____$70 (5 years)
Name: ______________________________________ Names of Family Members:
Last First ________________________
Street: ______________________________________ Spouse
No. Street Apt# ________________________
City & State: ______________________________________ Children
  City State Zip ________________________
________________________
Phone:  Home: (______)___________________ ________________________
________________________
Email Address: ______________________________________
Signature: _____________________________

List the members of your family who are interested in sharing their talents and leadership in the following activities:
Newsletter: December Dance___________________
    Columnist___________________ Picnic - July________________________
    Printing_____________________
    Writer______________________ Decorations & Art Design_____________
Association Photography_______________ Music - Instrumental__________________
M.C./D.J.____________________________ Music - Vocal_______________________
Sports_____________________________ Food, Recipes______________________


For further information call any of the Executive Committee Members or send email to committee@goanj.com
The Internet Editor 6/2004