康谷中華文化協會(康谷華協)一般會員,永久會員,及熱心贊助人仕規章
A. 一般會員:
B
. 永久會員:
C
. 熱心贊助人仕:
The Conejo Chinese Cultural Association (CCCA)
Regular Member, Lifetime Member, and CCCA Patron Program
Regular Member:
Lifetime Member:
CCCA Patron:
.
康谷中華協文化恊會有權修改此規章. 如有疑問,請洽下列CCCA理事 (CCCA reserves the right for making changes of this program without notice. Please contact the following CCCA staff for any questions:)
Please send the bottom portion with your check to:
CCCA, 1728 Moorpark Road, P.O. Box 416, Thousand Oaks, CA 91360
Name (
中文) EnglishNames of family members (
中英文)Address
Home phone number E-mail addressI would like to become a CCCA Regular Member. A check of $15 is enclosed. I would like to become a CCCA Lifetime Member. A check of $300 is enclosed.
I would like to become a CCCA Patron. A check of $
is enclosed.Signature Date
Please make check payable to CCCA, and mail it with this coupon to:
CCCA, 1728 Moorpark Road, P.O. Box 416, Thousand Oaks, CA 91360.