Association of Chinese Professors in Manitoba 曼省华裔教授协会
| Membership Application Form | |
| Full Name in Chinese: | Salutation: |
| Last Name (English): | First Name (English): |
| Title of Position: | Primary Affiliation of Adjunct Professor: |
| University Department: | |
| University / College: | Mailing Address: |
| Phone (home) – optional: | |
| Phone (work): | |
| Fax: | |
| Email: | |
| Web – optional: | |
| Annual Membership Due: $30.00 | Official Use Only: cash check |
Please submit your completed application form to liu.qian7485@gmail.com.