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