Halton Region Chinese Canadian Association
荷頓加華協會

Membership Form 註冊

Please fill out the information below.

Last Name (姓): First Name (名):

Sex 性別 - Male (男) Female (女)

Address (地址):

Postal Code (地區號碼):

Telephone #(電話號碼):(Res.) (Bus.)

Email Address (電郵地址):

Able to Volunteer (志願者)

Experienced (經驗): (please state your previous experience below)

Membership fee:

Family member for 1 year $20:
Family membership for 5 year $80:
Individual member for 1 year $10:
Individual membership for 5 years $40:
Member over 65 paying $40 life-time membership:

 

Thank you for your interest.
Please print the form above and mail it along with an enclosed cheque to the following address:
¡@
P.O. Box 60016, RPO Glen Abbey, Oakville, Ontario L6M 3H2
Tel (905) 847-8023 Fax (905) 842-5561
email : hrcca@hrcca.ca