加拿大中国人协会理事会员申请表

加拿大中国人协会

Canada Zhong Guo Ren Association

理事会员申请表

Directorship Membership Application Form

1. Name 2. Position

姓名:_______________________________ 职务: _____________________________

3. Service Institution

服务机构:__________________________________________________________________

4. Location (所在地点):

City(市)____________ Province(省): ________________ Country(国家):_____________

5. Mailing Address

通讯地址:__________________________________________________________________

6. Post Code 7.Telephone

邮编:______________________ 电话:______________________________

8. Fax 9. E-Mail

传真______________________ 电子信箱___________________________

10. Web-Site

网页:__________________________________

Signature(签名): _______________________ Date(日期):_________________________

Canada Zhong Guo Ren Association

10 ST. Mary ST. Suite 300, Toronto, Ontario, Canada M4Y 1P9

Telephone: (416) 923-3607 (416) 890-3866

Fax: (416) 923-2394