缺席会籍申请表.PDF

APPLICATION FOR ABSENT MEMBERSHIP STATUS I ________________________________________, Membership No. ____________________________________ (Name of Principal Member) will be away from China and wish to be placed on the list of Absent Members in compliance with the Club’s Rules regulations stated overleaf, for the period: From _____________________________________to _______________________________________________ (1st/mm/yy) (31st/mm/yy) ** I enclose herewith the proof of my overseas assignment and my forwarding address is shown below: Foreign Address ________________________________________________________________ Mailing Address ________________________________________________________________ ___________________________________________________________________________________________ Home Tel ___________________ Company Tel ________________________ Home Fax ___________________ Company Fax _______________________ _______________________________________ ___________________________________________ ( Signature ) (Date ) For Club Use Date Received Representative Ref. No. Membership Card Membership Type Finance Date of Payment Amount Member Relations GM Manager Important ! ·If you would like to transfer funds to our bank account, Please indicate Name and Membership No. Bank Address RMB Account China Construction Bank Shanghai Sheshan Intern