Membership Registration CPCA 会员注册
Thank you for your interest in Central Pennsylvania Chinese Association (CPCA)! We are dedicated to promote mutual friendship, public welfare, and community identity in the south central Pennsylvania/Greater Harrisburg region through cultural and social activities. For more information about the organization, please visit: http://www.cpca-harrisburg.org/index.html.

感谢您对宾州中部华人协会(CPCA)的支持!本协会致力于通过各种社会文化交流活动增进宾州中南部/哈里斯堡地区人民间的友谊,造福民众,促进社会认同。欢迎访问协会官网了解更多信息:http://www.cpca-harrisburg.org/index.html.

NOTE: If you are filling out this form as a current member, meaning you have paid for this year already, please do still fill out all the information needed digitally as everyone needs to do it for the first time.
声明:如您已缴费成为本年度(2020)的CPCA会员,请依然填写本表,以便于我们统一收集信息,建立会员数据库。

To register with us or renew your membership, please complete this form carefully.
如您注册或更新您的会员资格,请巡此表逐项填写。

Valid period for current registration/renewal 会员资格有效期:
****February 1st , 2020 to January 31st, 2021****
****2020年2月1日~2021年1月31日****

Individual 个人费用: $12.50
Family 家庭费用*: $25

BENEFITS: Receive newsletter, member directory, and discounted prices to all CPCA events, selected restaurants, and services.
会员受益:接收时事通讯,会员通讯录;享受所有CPCA活动、特选餐厅和其他服务项目的折扣价。

*The Family Membership includes spouse, unmarried children and member’s parents or grandparents who live in the same house address. 家庭会员资格包括配偶、未婚子女、会员的双亲或同住一屋的祖父母们。
Your LAST name (in English) 姓(用英文拼写) *
Your FIRST name (in English) 名(用英文拼写) *
Full name in Chinese (if applicable) 中文姓名 (如有)
Your Email 邮件地址 *
Your gender 性别 *
For which form of membership are you registering? 以哪种方式注册 *
Please note that the name you just filled out above will need to be put down on the "memo" line for the check you are to mail to us for registration fee. 注意:请在您的支票备注栏里写下您在此填写的姓名,以便于我们核查会员费的缴付情况。
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