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Tri-City Chinese Association Member Information Form  
   
三城华人联谊会 会员资料申请表  
   
Member Name 会员姓名(中文)
   
Home Address  Home Telephone Number
   
   
   
Business Address (optional) Business Telephone Number (optional)
   
   
   
Email Address (optional)  
   
Spouse Name (English) 配偶姓名(中文)
   
Spouse e-mail address (optional):  
Spouse Telephone Number (optional):  
   
 Other Family Members Names (English)
(Optional)
其他家庭成姓名(中文) 
(随意)
   
   
   
   
   
   
Please return your updated form to one of the TCCA committee members   
or email it to: tricitychinese@tricitychinese.org

Download the application form


(Membership Dues):

 

 

 

家庭 (Family)

$30

个人 (individual)

$20

学生 (Student)

$10

 

 

Make Check Payable to:

Tri-City Chinese Association

Mail your check to:

Mr. Qindong Liu

 

Address: 1320 Waldo Ave Dorinco 100 Midland MI 48642


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