Home About Us Why Us Events Membership Web Links Mission Services Contact Corporate Membership   USPAACC Midwest Chapter Varghese Chacko, President 2567 Greenleaf Road Elk Grove Village, IL 60007 847-758-9288 (Phone) 847-364-3621 (Fax) www.USPAACC-Midwest.com Chacko@USPAACC-Midwest.com   APPLICATION FORM Corporate Membership (Up to 250 Employees) $1,000 / Year Corporate Membership (More than 250 Employees) $2,000 / Year Name Company Title Address Phone E-mail ASIAN - AMERICAN SCHOLARSHIP FUND Yes I would like to make a contribution No Not at this time $ Amount (If You Answered Yes) Contributions are tax-deductible under IRS Code 501 (c) Payment Method Company / Personal Check Check Payable to: USPAACC Total Amount: $   © US Pan Asian American Chamber of Commerce-Midwest. All Rights Reserved Website Designed and Maintained by Polymorph Media Solutions LLC