
According to the by-laws of The Peruvian American Club of Michigan, “A family shall be defined as mother, father, and children age 18 and under.” Please note that full time students, regardless of age, will also be considered as part of a family membership.
(Anticuchos, dance music with DJ & other Peruvian dishes)
* Other events and activities TBD (discounts for members). Activities and estimated values subject to change
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Annual Membership Dues Form
Please mail form & check payable to, “Peruvian American Club of Michigan” to the address below by 6/25/10
The membership covers January 2010 – December 2010.
Single membership = $25 Family membership = $50
(parents, children under 18, and any full time students)
Adult family members’ names: ________________________________________________________
Children’s names and ages: _________________________________________________________
_________________________________________________________________________________
Mailing address (check if new
): ____________________________________________________
Phone number(s): __________________________________________________________________
E-Mail Address (check if new
): _____________________________________________________
(Note: All correspondence will be via email unless not available or otherwise indicated.)