application for harvard Club of hong hong associate

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Login ID :

First Name :

Middle Initials :

Last Name :

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Gender :

Application Category :

Associate Type :

Time period at Harvard University :

Program Details :

Harvard School/Degree/Year :

Graduation Date :

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Fax :

Office Telephone :

Home Telephone :

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Alternate Email Address :

2nd Alternate Email Address :

Interested in Club Committee :

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Associates cannot vote nor become Directors.

There are three categories of Associates:

1) Annual: HK$800 per year

2) Biennial: HK$1,500 for 2 years

3) Lifetime: HK$10,000

Please help us verify the below information about yourself: Upon verification, we shall notify you how to proceed through the next step of paying your Associate fee. Thank you.

(6-10 characters)

(6-10 characters)

(6-10 characters)

First Name
Middle Initials
Last Name

Male Female

Please describe your association with Harvard University *

Time period at Harvard University *

from: (YYYY-MM-DD) to: (YYYY-MM-DD)

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+ Must provide at least 2 out of 3 telephone numbers for contact