Regional Affiliation Form

CLTA Affiliated Organization Information and Affiliation Fee
Name of Organization (English) *
Name of Organization (Chinese) *
Organization website
Contact's Name *
Contact's E-mail
Contact's Address
Name of President *
President's E-mail *
Name of Vice President *
Vice President's E-mail *
Please indicate the number of current members in your organization *
CLTA Affiliated Organization Fee *

Price: $100.00