Membership form

Association of Chinese Professors in Manitoba 曼省华裔教授协会
Membership Application FormJuly 1, 2010 to June 30, 2011
Full Name in Chinese:Salutation:
Last Name (English):First Name (English):
Title of Position:University Department:Primary Affiliation of Adjunct Professor:
University / College:Mailing Address:
Phone (home) – optional:
Phone (work):
Fax:
Email: 
Web – optional: 
Annual Membership Due: $30.00Official Use Only: cash             check

Please submit your completed application form to (by campus mail or any other means):
1. Xikui Wang, Department of Statistics, U of M, 474-6275, xikui_wang@umanitoba.ca
2. Qiang Zhang, Department of Biosystems Engineering, U of M, 474-9819, zhang@ms.umanitoba.ca
3.  Xi Yang, Department of Microbiology and Dept. Immunology, U of M, yangxi@cc.umanitoba.ca
4. Simon Liao (Treasurer)
, Department of Applied Computer Science, U of W, 786-9416, s.liao@uwinnipeg.ca

Print Association of Chinese Progessors in Manitoba form (doc)