CANWA Member Registration Form (西北阿肯色华人协会会员注册申请表)
(所有会员需要填写会员注册表并缴纳会费。请申请者填好并递交下面的表格,如还没有付费,请使用上面的“Add to Cart”按纽在网上付费。)
会员类别 (Membership Category) *
姓 (Last name in Chinese)
Your answer
名 (First name in Chinese)
Your answer
Last Name (Last name in English) *
Your answer
First Name (First name in English) *
Your answer
性别 (Gender) *
配偶中文姓名 (Spouse name in Chinese)
Your answer
配偶英文姓名(Spouse name in English)
Your answer
年龄范围 (Age) *
职业 (Profession)
Your answer
配偶职业 (Profession)
Your answer
沃尔玛员工 ( Employee at Walmart)
居住城市 (City) *
Your answer
微信ID (WeChat ID)
Your answer
电话号码 (Phone number) *
Your answer
18 岁以下孩子总人数 (Total Number of Kids under 18) (个人会员选择“other”,individual member choose "other") *
会费是否已付?(Membership fee paid?) *
付费方式 *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.