Membership Application Form – Auckland Chinese Community Centre

Join ACCC Membership *

Type of Membership (if the family children's age is over 18, he/she shall register as individual member) *

Membership Renewal 会员更新 / Member Number 会员号码

If you apply for a new member, fill in N/A

Name 姓名 (English Only) *

First

Last

Date of Birth *

Residential Address 住址街道号码 *

Postcode *

Post Address (if applicable) 通讯地址

Mobile 手机 *

Email 邮箱 *

Family members included in application. Name, Date of Birth, Relationship to the main applicant 包括在申請表內的家庭成員, 姓名，生日，与主申请人关系: *

Children included in this application must be under 18 and living with their parent(s) 包括在申請標內小孩滿18歲以下且與夫母同住

Application Date 申请日期

Annual Fee 每年会费 *

For New Application ONLY 只适用于新加入会员- Sponsor Name & Address 第一推荐人姓名及地址 *

For New Application ONLY 只适用于新加入会员- Seconder Name & Address 第二推荐人姓名及地址

Direct Credit ANZ ACCC Account - 06-0101-0300774-00 , put your phone number as reference *

Please send your payment to Auckland Chinese Community Centre

What's the online payment reference you put in?

Submitting this form means that you (and family members included on this application) consent to being a member of the ACCC. *