Chinese American Chamber of Commerce (CACCC)
美国华人华侨工商总会
Membership Registration Form / 会员登记表
Section 1: Personal Information / 个人信息
Full Name / 姓名:
____________________________________________
Phone Number / 电话:
____________________________________________
Email Address / 邮箱:
____________________________________________
Mailing Address / 地址:
____________________________________________
WeChat / WhatsApp ID / 微信/WhatsApp:
____________________________________________
Section 2: Membership Type / 会员类型
☐ Chairman / President Circle — $10,000/year / 主席会员
☐ Director Circle — $5,000/year / 理事会员
☐ Corporate Sponsor — $2,000/year / 企业会员
☐ Non-Profit Organization — $1,000/year / 非营利组织
☐ Gold Member — $800/year / 金卡会员
☐ Silver Member — $500/year / 银卡会员
☐ Bronze Member — $200/year / 铜卡会员
☐ Student Member — $50/year / 学生会员
Section 3: Membership Date / 入会日期
Date Joined / 日期:
____________________________________________
Section 4: Agreement & Consent / 协议确认
☐ I confirm information is accurate / 我确认信息真实
☐ I agree to CACCC terms / 我同意条款
☐ I agree to receive communications / 我同意接收信息
Section 5: Signature / 签名
Signature / 签名:
____________________________________________
Date / 日期:
____________________________________________
Payment / 支付
Please send payment via PayPal to: taichigong@gmail.com