Membership Application Form

To join the Toronto Xiangqi Association (TXA), Please complete the simple form below and return it by mail, with a cheque for the membership fee, to the TXA at:

Toronto Xiangqi Association
4790 Creditview Road
Mississauga, Ontario
Canada, L5M 5M4

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Name: _______________________________________________

Address: _______________________________________________

Birth Date: __________________    Occupation: __________________

Tel (Home): __________________    Tel (Office): __________________
 
Fax: __________________    E-mail: __________________
 
Individual Member $ 12 per year

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Thank you for your support to the Toronto Xiangqi Association

For enquires, please contact

Toronto Xiangqi Association

Tel  : (905) 819-8263

Fax  : (905) 821-9947

E-mail eyuen@esricanada.com