Application for membership of AUS-CHINESE GOLF ASSOCIATION
INC.
西澳华风高尔夫球协会入会登记表
Mar 2015
会员 编号
Membership No.
|
姓名
Name
|
|
性别
Sex
|
出生日期
Date of Birth
|
|
|
|
|
|
联系 电话
Telephone
|
邮箱
E-MAIL
|
|
差点
Handicap
|
球衣号码
Size of T-shirt
|
|
|
|
|
S. M. L. XL
XXL
|
介绍人
Introducer
|
家庭住址
Post Address
|
|
||
|
|
|
年费/Renewal Fee:$80.00 每年7月1日 / 1st July annually
Address:Unit 6 / 78 Terrace Road. Perth. WA
6004
Tel:0416 189 187,0412 690 892,0419 929 228, 0408 035 555
付款方式/Method of payment: Cash / Cheque /
Money Order / Online Transfer
账户/Account Details: Account Name: ACGA.
BSB No. 066 110 Account
No. 1026 2269
Date:
申请人签名/Applicant’s signature:
No comments:
Post a Comment