Please complete the form below, make check payable to Hong Kong Club and
mail it along with this print out to 228 W. Cermak Road, Chicago IL 60616.
Last Name:
First Name:
Address:
Home Phone:
Office Phone:
Cellular:
Email*:
Birthday:
Occupation:
Interest:
* Email is the main communication channel of Hong
Kong Club, please try your best to get one. Using anyone's email in the
family is absolutely fine and highly recommended.
Family Members and Relationships
1.
2.
3.
4.
5.
I declare that
all the information made in this application are true and complete.
