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Membership Application

  


NAME: ____________________________________________________________




BUSINESS NAME: ___________________________________________________


 (If this is a corporate membership please place the company name above and provide the names of  TWO representatives below.)

 

_____________________________________________________________

 

 ____________________________________________________________

 
 

ADDRESS: ____________________________________________________


______________________________________________________________

 

PHONE: _______________ FAX: __________________ E-MAIL: __________________

 


NATURE OF BUSINESS: _________________________________________________________

 


AREAS OF INTERESTS: _________________________________________________________

 
 ____________________________________________________________________________

 

 PAYMENT INFORMATION


Corporate Member: $350 / year

Small Business (1 - 6 employees):  $100 / Year

Individual Member:  $50 / year 

. Enclosed is my cheque for the amount of $ ______________


 

. Please charge my VISA or MC Card # _______________________ Exp Date:_________

If you use your credit card, please scan and email to info@chinacanada.org

If you paying by check, please mail this form with check to:

11904-113 Avenue, Edmonton, AB T5G 3C2

If you would like to enjoy the support of a strong organization, as well as substantial discounts brought about by our partnerships, become a member today. If you are already a member, you can renew your membership here. Please submit your information using the form above.

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