APPLICATION FORM
(For use by One or Two people)                                                                 

1. PLEASE WRITE CLEARLY

(請以英文大寫書寫,若不會翻譯,務必保持空白,本會可代為翻譯)  

No:
中文姓名:
中文地址:
電子郵件信箱:
Family Name:
First Name:
Address:
Country: Post Code:
What is your year of birth?(西元) What age are you this year?
Are you Male or Female? Are you Married or Single?
What is your Religion?(宗教) What is your Profession? 

2. PLEASE WRITE CLEARLY

(另一人共同參加時,請填此欄,否則空白,勿需填寫)  

No:
中文姓名:
中文地址:
電子郵件信箱:
Family Name:
First Name:
Address:
Country: Post Code:
What is your year of birth?(西元) What age are you this year?
Are you Male or Female? Are you Married or Single?
What is your Religion?(宗教) What is your Profession? 

 
1.Do you require male or female correspondence or both?
2.In what languages do you wish to correspond?
3.What is your main interest or hobby?
4.Have you ever been a member of our club? Yes or No
5.How or where did you learn about our Club?

 

Whichever item are of general interest to you.

art animals

antiques camping
chess cramping crafts dancing
exchange holidays fishing frank discussion gardening
history literature languages music
philately photography religious discussion reading
science social work sport theatre
travel writing computer science

 

Exchange of Articles :

Cards Stamps

Souvenirs Dolls
Tapes Books Records

Underline the countries in which you would like to have pen friends: (YOU MUST SELECT AT LEAST EIGHT COUNTRIES). (至少選8個國家以上) 

AFRICA :

Algeria 002 Angola 003 Kenya 005 Uganda 019
Egypt 004 South Africa 001 Africa-General 020    

THE AMERICAS :

Argentina 501 Brazil 502 Canada 480 Caribbean 560
Columbia 505 Mexico 512 Peru 514 U.S.A. 420
South/Central America (General) 550

AUSTRALASIA :

Australia 200 India 102 Indonesia 111 Japan 112
Korea 113 Malaysia 115 New Zealand 201 Philippines 119
China 108 Singapore 120 Taiwan 109 Thailand 122
Asia-General 130 Pacific Islands 250

WEST EUROPE :

Austria 341 Belgium 311 Denmark 312 France 313
Finland 342 Germany 314 Greece 315 Holland 318
Iceland 345 Ireland 306 Italy 316 Malta 347
Norway 349 Portugal 319 Spain 320 Sweden 351
Switzerland 350 England 301 Scotland 302 Wales 303
Other West European Countries 344

EAST EUROPE :

Albania 330 Bulgaria 362 Croatia 360 Czech Republic 363
Estonia 370 Hungary 365 Latvia 371 Lithuania 372
Poland 366 Rumania 368 C.I.S. 374 Russia 367
Slovakia 363 Ukraine 373 Other East European Countries 369

MIDDLE EAST :

Israel 608 Saudi Arabia 611 Gulf States 601 Iran 606
Turkey 613
       

 
Tick Service Required    ADMISSION FEES

TAIWAN

H.K

CHINA

 

C1 Service---The fee for one applicant aged 8 - 14 is...................... NT$450 HK$120 RMB$40  

C2 Service---The fee for two applicants aged 8 - 14 is..................... NT$700 HK$190 RMB$55  
C3 Service---The fee for one applicant aged 15 - 20 is..................... NT$550 HK$150 RMB$60  
C4 Service---The fee for two applicants aged 15 - 20 is................... NT$800 HK$220 RMB$75  
C5 Service---The fee for one applicant aged 21 - 60 is..................... NT$600 HK$160 RMB$80  
C6 Service---The fee for two applicants aged 21 - 60 is.................... NT$850 HK$230 RMB$100  
C7 Service---The fee for one applicant over 60 years of age is........... NT$500 HK$140 RMB$45  
M1 Service---Annual Subscription for 4 issues of Club Magazine is.... NT$650 HK$180 RMB$150  
M2 Service---Subscription for one issue of Club Magazine is............. NT$220 HK$ 60 RMB$40  

1. 現金
2. 郵件匯票 – 抬頭:謝明景
3. 郵政劃撥03404623號 謝明景帳戶。
PS: 利用繳費方式, 務必要以掛號交寄,否則遺失, 恕不負責。

 

Please return this form with your admission fee to :
通信地址 : 台灣. 台南歸仁郵局22號信箱
服務電話 : (06)3312423 夜間 08:00 ~ 10:00
E-mail : mingjiing56@yahoo.com.tw