APPLICATION FOR ASSOCIATE MEMBER

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Hong Kong Christian Institute
APPLICATION FOR ASSOCIATE MEMBER
Name:(Ms./Mr./Rev.)
Chinese Name(if applicable):
Occupation:
Church Affiliation:
Tel. No.
Facsimile:
Correspondence Address:
Education Level:
(office)
E-mail:
(home)
I support the objective and functions of the HKCI and apply to
join the Institute as an associate member. I am enclosing my
membership fee / donation in the amount of
___
Cheque No.
Applicant’s Signature:
___
Office use only
Membership No.
___
Notes:
1. Applicants please complete the above form and return it with your payment
of membership fee / donation to the Hong Kong Christian Institute, 11
Mongkok Road, 10/F., Kowloon, Hong Kong.
2. Cheques should be crossed to “Hong Kong Christian Institute” and if the
cheque is not in Hong Kong Dollars, bank exchange charges of HK$60.00
should be added.
3. Associate membership fee: local HK$100 / Overseas HK$200 (or
equivalent) / 50% discount for full-time students.
Your personal data is only for issuing receipts, newsletter and information of courses
only. If you do not want to receive news, please notify us. For inquiry, please call
2398 1699.
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