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CHINAENTERPRISE COUNCIL MEMBERSHIP APPLICATION FORM
洛 杉 矶 中 资 企 业 协 会 会 员 申 请 表
To : The Chairman of China Enterprise Council
洛杉矶中资企业协会会长：
Our organization wishes to apply for membership of China Enterprise Council. We agree to abide by the rules and regulations of the Council. We submit our particulars as follows.
本机构自愿申请成为洛杉矶中资企业协会的会员并遵守协会的有关规章制度，现将有关资料提供如下：
Name of Organization：_________________________________________________
机构中文名称： ______________________________________________________
Business Address/机构地址:______________________________________________
Business Registration FEI No./联邦政府机构注册号码：__________________
Year of Establishment/成立年度: __________ Paid up capital / 注册资本__________
Annual Turnover / 年营业额：USD__________ No of employees / 雇员人数：_____
Shareholder Information/股东背景：中国大陆国营□ 中国台湾□ 中国澳门□
中国大陆私营□ 中国香港□
Line of Business / 业务范围：
_____________________________________________________________________
Name of Chief Executive: ____ ___________ 负责人姓名____________________
Tel No/电话号码: ________________________ Fax No/传真: ___________________
E-mail/电子邮件： ____________________ Cell/手机： __________________
Name of Liaison (if not the above):___________ 联络人：____________________
E-mail/电子邮件：_________________________ Cell/手机：_________________
Company website/公司网站：_____________________________________________
Proposer 1/ 介绍人1：__________________________
I certify the above information given are correct and true to the best of my knowledge. 本人确认上述资料属实无误。
Signature of Applicant /申请人签名：_____________Date/日期：________
Approved by / 批准人：_______________________ Signature / 签名：____________
Membership No. /会员号码：_____________ Date of Approval/批准日期:_________
Remarks / 备注：
1. Entrance Fee / Annual Member Fee : (TBA). 入会申请费/会员年费：(请咨询)。
2. Please make check payable to “China Enterprise Council”. 支票收款人请填写“China Enterprise Council”。
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