Applica Membership Form

Membership Application Form

中文姓名 (Full Name in Chinese) *

英文姓名（Full Name in English) *

性别 (Gender) *

Male
Female
Other

出生日期 (Date of Birth)

出生国家 (Country of Birth)

邮箱地址 (Email Address) *

联系电话 (Phone Number) *

曾就读过或工作或正在就读的高校 (University Name) *

紧急联系人姓名 (Contact Name) *

紧急联系人电话 (Phone Number) *

紧急联系人邮箱 (Email Address) *

遵守规定和章程 *

Yes. 我同意遵守墨尔本中国高校校友羽毛球协会的规定和章程。如违反，我的会员资格有可能被注销。 I agree to abide by the Rules and Constitution of MBadX. I acknowledge that my membership may be terminated if I have violated any Rules, Constitution, instructions and guidelines of MBadX.

使用影像资料 *

Yes. 我同意墨尔本中国高校校友羽毛球协会使用我在参与活动中的影像资料用于协会宣传。 I agree that MBadX may use my photos and video recordings for the purpose of promoting MBadX.
No.

赛事免责声明 *

Yes. 我已阅读并同意《墨尔本中国高校校友羽毛球协会赛事免责声明》。 I have read and agree to MBadX Event Disclaimer.（mbadx.org.au/event-disclaimer/）

会员会费缴纳日期 (参照下面的银行账户信息) *

缴纳金额 (AU$) *

注：墨尔本中国高校校友羽毛球协会会员年费二十元澳币.
The annual membership fee for joining MBadX is AU$20.00.
银行账户信息：
Bank account details:
Name of Bank: ANZ
Account name: MBADX
BSB: 013215
Account number: 428613027
转账时请写明姓名+“新会员年费”。协会确认会员年费已交之后，将给会员电邮会员号码。
Kindly note your name and “new membership fee” as the reference when completing the payment of the membership fee. Once the payment of the membership fee is verified by MBadX, your unique membership number will issue and we will notify you of the same via email.”