Chinatown Adelaide of South Australia Inc. Membership Application

Chinatown Adelaide of South Australia Inc.

Membership Application Form
Full Name

First NameLast Name
Company Name
Please provide the full company name and trading name for membership fee invoicing purposes.
Email Address
example@example.com
Mobile Number
Please enter a valid phone number.Format: 0000-000-000.
Postal Address

Street Address

Street Address Line 2

CityState

Post Code
Where did you hear about our association?
What are your main interests?
Reasons for Joining
Date

MonthDayYear
Date
Signature
Thank you for your application!

An invoice for the annual membership fee of $70.00 will be sent to your email address once your application has been approved by the association's committee.

Wayne Chao

President

Chinatown Adelaide of South Australia Inc.

0420588099

wayne.chao@todayadelaide.com.au
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