REGISTRATION FORM FOR THE 2ND THAI STUDENT ASSOCIATIONS CONVENTION

Name: (First)_____________________(Last)___________________________

School__________________________________________________________
 
Field of Study_____________________________________________________
 
Address_________________________________________________________

Address_________________________________________________________

City______________________State_______________Zip_________________

Telephone_________________________Fax____________________________
 
E-mail___________________________________________________________
 
Enclosed is a check for______( payable to Usa Ungsunantwiwat)

Note:
This convention is sponsored by: Thai Student Association at Columbia University,
Thai Student Association at Yale University and Association of  Thai Professionals
in America and Canada (Eastern Region).

Registration is $5/w all food, the admission to the festival and transportation.
Additionally,we ask for an optional-but very appreciated $5/person donation
to the "Thais help Thais" fund to aid the needy in Thailand.

Please return this form with your payment to:

Usa Ungsunantwiwat
601 West 110th Street #10J7
New York, NY 10025
E-Mail: [email protected]

(You may E-mail this form to Usa to secure the seat and give your registration fee and your donation at the registration desk on 4/11)

For further information, please contact: