Suite 316-560 Johnson St., Victoria, BC V8W 3C6 (250)-881-6262
NEW MEMBER APPLICATION
MEMBERSHIP TYPE
*
Student - $20.00
Corporate - $200.00
Individual - $60.00
Student Name
School Attending
Student Email
Student ID #
Individual Name
Individual E-mail
Individual Address
Individual Phone Number
Corporate Name
Corporate Address
Corporate Phone
Corporate E-mail
Voting Associate
Voting Associate E-mail
List up to 4 Additional Non-Voting Associate Members
Non-Voting Associate 1
Non-Voting Associate 1 E-mail
Non-Voting Associate 2
Non-Voting Associate 2 E-mail
Non-Voting Associate 3
Non-Voting Associate 3 E-mail
Non-Voting Associate 4
Non-Voting Associate 4 E-mail
Member Sponsor"s Name
Application Acceptance
*
I understand that the acceptance of my Application must be voted on by the Board of Directors of the Victoria Chinese Commerce Association and I will be notified of the outcome once this has taken place.
Submit
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