MEMBERSHIP APPLICATION FORM

Applicant
Company
Nature of Business			Title/Position
Mailing Address			Postal Code
Address (Residence/Business if different from above)			Postal Code
Tel (Bus)			Tel (Res)
Cell/Pager			E-mail
Degree/Designation			Professional Training
Personal Interests/Hobbies

Activities you would like to participate in: social/educational/trade etc.

Please contact me with regards to my interest in		Annual Membership Fees
Volunteering			Individual Full or Associate $45.20 ($40.00 + HST)
Sponsoring events			Youth 16 to 22 years of age $11.30 ($10.00 + HST)
Offering discounts to members of CPB			Young Adult 23 to 28 years of age $22.60 ($20.00 + HST)
Advertising in the CPB journal			Family Up to 4 members, 1 voting right $90.40 ($80.00 + HST)
			Corporate Up to 4 members, 1 voting right $282.50 ($250.00 + HST)

Please make cheque payable to:
Mississauga Board of Chinese Professionals & Businesses
1675 The Chase, Unit #22, Mississauga, Ontario L5M 5Y7


I hereby apply to become a member of the Mississauga Board of Chinese Professionals & Businesses.

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