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Polish American Congress, Inc

Northern California Division
Individal Membership Application

Application Form

Privacy assurance: All information will be kept strictly confidential and not used for any purposes other than membership and communication within the PAC.

Single Choice
Mr.
Mrs.
Ms.
Dr.
American Citizen
By Birth
Naturalized
Permanent Resident
Languages Spoken

Please enter your email address (for faster handling), or your telephone number (including area code) into the field to the right. Entering this information shall be accepted as your signature. The PAC will use this information to confirm your membership request.

What to expect:

  1. You will be contacted (either by automated email or a phone call from the PAC board member) to verify your application.

  2. The PAC members providing recommendation will be contacted to confirm your application.

  3. Upon completion of your application, you will be asked to pay the annual membership fee of $50.00. You will be able to do so either through PayPal, or by sending a check to: Polish American Congress, Northern California Division, 3765 Deer Trail Ct, Danville, CA 94506-6025.

The estimated time for completing the application process is 1-2 weeks.



We appreciate your interest in joining the Polish American Congress Northern California Division!


[TBD: contact information in case of questions ...]


As required by the PAC Bylaws, membership of a new applicant needs to be recommended by two PAC members.

Please provide contact to two PAC members to verify the recommendations.The contact information could be either in a form of an email address (for faster handling), or a telephone number (including area code):

PAC Members providing recommendation:

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North California PAC

Connecting, preserving, and celebrating Polish heritage in Northern California since 1985.

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Contact

23 Heritage Way
San Francisco, CA 94102

(415) 555-0123

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