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MEMBERSHIP APPLICATION

Name of Firm:            
Address:                                 Postal Code:  
Business Telephone:    Fax:    E -mail:   
Name of Applicant:      
Nature of Business:    
Referred By:              
ONE-TIME MEMBERSHIP FEE
Corporate Member  $300 + 13% HST = $339.00
(Includes up to 3 general members from the same corporation)
Name:    Phone #    Email  
Name:    Phone #    Email  
Name:    Phone #    Email  
General Member   $100 + 13% HST = $113.00
Youth Member (Age: under 30)  $20 + 13% HST = $22.60

PAYMENT METHOD
Credit Card: Please contact our office at 905-731-8806
Cheque: Please mail your cheque to 360 Highway 7 East, Lower Level One, Richmond Hill, Ontario L4B 3Y7
Make your cheque payable to: Richmond Hill & Markham Chinese Business Association

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