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Please indicate in the Memo section if donating to a specific fund or events.

For information about membership, please email Dr. Rise Faith Dajao, Executive Director of ASOCIMAI, at risefaith@yahoo.com

Dr. Dajao can be reached at (757) 753-9237.

Alternative contact info: bradtanmd@gmail.com

Mail your Registration Form and check payment to: 

Dr. Joseph Graciosa
474 N Lake Shore Drive, Apt 6001
Chicago, IL 60611