Office Use: #_____________
CONFERENCE REGISTRATION
FORM
CHINESE TEACHERS ASSOCIATION
OF GREATER
Family Name |
English |
|
Given Name |
English |
| |||||
中文 |
|
中文 |
| |||||||
Affiliation: |
|
Work
address |
| |||||||
Email
1 |
|
Home
address |
| |||||||
Email
2 |
| |||||||||
Fax |
| |||||||||
Telephone |
Work |
|
Home |
| ||||||
Registration
Fee: $20 □
Make check payable to CLTA-GNY. |
Membership
Status Yes
□
No □ | |||||||||
|
|
|
|
|
|
|
|
|
|
|
Please send
the form back to:
Chinese Language Teachers
Association of Greater
Or email the form to: clta.gny@gmail.com
You also can pay conference registration fee online: | |