2018-2019 District 67 Incentive Application for T-Shirt, Polo, Bag, TM T-Shirt, Keyring, Membership Pin 總會激勵方案申請表 T恤, polo襯衫, 電腦袋, 世界總會 T裇, 鑰匙圈 , TM會員的別針
**If you have more than one item, please write in the comment below. Please do not fill in more than one form.
Also, please email your club's payment receipt for at least 6 months membership for new members to Yvonne Lai (D67incentives@gmail.com). Application deadline July 15, 2019.
109.7.15截止申請，若申報超過一個品項，可在同一張申請表的評註欄內註明，務必填寫此請表，僅寄email恕難受理。
敬請分會將新會員上繳至少六個月會費的收據憑證，轉寄給分會成長執行長吳天勝 D67incentives@gmail.com)
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Membership Incentive Awards
Applicant's name 申請人姓名(需中文姓名): *
Applicant's email 申請人的子郵件電: *
7-11 Store's name and address near your place           寄送附近 7-11 商店名稱  +  商店地址 + 收件人手機 : *
Division/Area 部/區: *
Club分會: *
New Member Sponsor's name (specify as sponsor during online TI membership application) 新會員贊助人的名字 (必需是世界總會線上申請加入時有登記的贊助人):
New member/s name:
Choose one incentive 只選1獎勵 *
Choose T-shirt size 選  白色 T恤 尺寸 (approximate sizes only)
TM Logo Polo Shirt 演講會標章襯衫                            
TM T-Shirt 世界總會 T裇                            
Questions and comments 問題:
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