Member application form

Member Application Form

Organisation *

Name (English) *

First

Last

Name (Chinese)

First

Last

Preferred Name

Position *

Address *

Phone *

Fax

Email *

Please enter your email, so we can follow up with you.

Website

Wechat

How did you hear about CBNSA?

What is the Nature of your business?

Please briefly describe what your business does

How can CBNSA help you achieve your goals?

Display my details listed in the online directory

Yes
No

Membership Details

New Membership
Renew existing Membership

Membership Type

Corporate - $500.00
Small Business - $250.00
Individual - $100.00
Student - $50.00

Payment Options

Credit Card - (Please proceed to the online payment option below after submitting this form)
Online Bank Transfer - To the CBNSA account BSB 015025 Account No. 263992443 Ref: Your Name

Single Line Text

All information collected by CBNSA is used for membership purposes and online directory display unless otherwise stated in the tick box above. I hereby apply for membership to the China Business Network of South Australia (CBNSA) and agree to abide by the rules and constitution of the association as stipulated on the website www.cbnsa.com.au.

Name

CBNSA c/o Daisy Gan P.O.Box 332, Glenside SA 5065, Australia | admin@cbnsa.com.au
@2022 The China Business Network of South Australia

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