MCAI Membership Form
MCAI Membership Form
MCAI Membership Form
MEMBERSHIP FORM
NAME: ……………………………………………………………………………………………………………………………………………..
SURNAME: ……………………………………………………………………………………………………………………………………….
AGE: …………………………………………………………………
ADDRESS: ………………………………………………………………………………………………………………………………………..
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PHONE: ……………………………………………………………………………………………………………………………………………
BLOODGROUP: ………………………………………………………………………………………………………………………………….
PLATFORM: MAC ( ) PC ( )
I wish to enlist myself as a member of the Association and agree to subscribe to the aims and objects of
the Association.
(Signature)
…………………………………………………………………………………………………………………………………………………………
RECOMMENDED BY:
NAME:
SIGNATURE:
ACCEPTED BY: