SBCWA Membership Application
Email address *
First Name *
Last Name *
Chinese Name
Cell Phone Number *
Date of Birth (month/date) *
Street Address *
City *
State *
ZIP code *
Membership fee is $150 (lifetime Membership). Please make check payable to SBCWA. TAX ID #52-2457973. Mailing address: 42 Portuguese Bend Rd, Rolling Hills, CA 90274. Or via Paypal- please select "SEND MONEY TO FRIENDS AND FAMILY" to avoid service charge *
Check number/ Paypal ID *
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