S h a n g h a i
B
R I T S A B R O A D
MEMBERSHIP APPLICATION FORM
Membership year from 1st Jan to 31st Dec: 200 RMB
1st Jul – 31st Oct: 100 RMB, from 1st Nov: 200 RMB includes the following
year
JANUARY
- DECEMBER 2010
PLEASE
WRITE CLEARLY IN BLOCK CAPITALS AND, IF POSSIBLE, ATTACH AN ADDRESS CARD AND HAND THIS FORM WITH THE CORRECT FEE TO THE MEMBERSHIP
TEAM
Please tick the appropriate box: RENEWAL □ NEW MEMBER
□
Name: _______________________________________
Nationality: _______________________
Partner’s Name: _______________________________ Nationality: _______________________
Compound/Building: ___________________________ House/Apt No: _________ Block:____
Road Name: __________________________________
District: __________________________
Post Code: ___________________________________ Pudong □ Puxi □
Tel:
_________________________________________ Mobile: __________________________
Email: ___________________________________________________________________________
How did you hear about Brits Abroad? __________________________________________________
Please let us know what sort
of activities you would like to see Brits Abroad organising:
__________________________________________________________________________________
If you are interested in helping on the committee, or think you have any special skills we may
be
interested in, please let us know: _______________________________________________________
PLEASE READ THE FOLLOWING IMPORTANT INFORMATION:
Please note, that membership can be granted to foreign passport holders only.
Brits Abroad retains members’
information in a central database. This information is not, under any circumstances, knowingly
given out or sold to a
third party. However, we do include new members’ details in our newsletter and annual directory, unless
requested
otherwise. This information could be obtained and used by financial companies to ‘cold call’ new members, quoting
our name as the source. Please note we do not condone this action and if you are approached in this way please let us know.
Please tick here □ if you DO NOT want your NAME INCLUDED IN THE
NEWSLETTER or ANNUAL MEMBERS’
DIRECTORY
Please tick
here □ if you DO NOT wish to RECEIVE EMAILS about events and other information
Signature__________________________________________________ Date ___________________________________
FOR COMMITTEE USE
ONLY
Directory Fee paid (RMB) M/ship No Update Database
bulk email Welcome message M/Ship card
F
A
