Member Information 會員通 訊 聯 誼 信息

Member Information 會員通 訊 聯 誼 信息

September 2007- August 2008 Thank you very much for being an active member!

Name (Chinese)___________________________________

(English)___________________________________

Address:________________________________________________________
Street

City:_________________ Michigan, Zip Code__________________

Telephone: ( ) __________________________

Cell Phone: ( ) __________________________

Email: ___________________________________

Speicalty (Education and/or Work Experience and/or Hobbies)




Membership Dues: $10.00

Donation: $_________

Total Payment Enclosed $ ______________ Cash_______ or Check #________

(Check payable to MCWA. Please give the envelope with this form and payment to one of the board members or mail it to MCWA c/o Amy D. Seetoo 3111 Cedarbrook Road, Ann Arbor, MI 48105)
謝謝











會員意見詢問
Member Survey (Please give this to a Board member, mail it to Amy Seetoo, 3111 Cedarbrook Road, Ann Arbor, MI 48105, or fax it to (734) 332-4480. Thank you!

Do you exercise regularly? 您常常做運動嗎?Yes_____, No______

Do you have adult children living in SE Michigan? 您有子女住密西根嗎?
Yes_____ No______

What other organizations do you belong? 您參加其他組織嗎?

Which senior citizens luncheons do you plan to attend? (Circle as many as you like)
您計畫參加哪幾次的長青聚餐?

10/13/07 11/10/07 12/15/07 3/15/08 4/12/08 5/10/08 6/14/08

Please circle the days for which you would like to serve as a volunteer:
您計畫為哪幾次的長青聚餐做義工?
10/13/07 11/10/07 12/15/07 3/15/08 4/12/08 5/10/08 6/14/08

Which seminars do you plan to attend? (Circle as many as you like)
您計畫參加哪幾次的座談會?
10/13/07 速食烹飪示範Vegetarian Cooking Demonstration

3/15/08 耆年住宿 長期療養住院等問題Preparing for senior housing,
long term care, hospitalization, etc.

5/10/08 以插花來美化人生 – 慶祝母親節Flower arrangement demonstration

Please circle the days on which you would like to lunch with the Board and Amy:
您計畫參加哪幾次午餐聚會?
10/20/07 11/17/08 3/1/08 4/26/08

Please recommend places or restaurants to have these lunches: 您建議哪家餐館?

Please circle any voluntary positions that you would like to serve: 您願為本會做何義工

Board member
Webmaster
Press Release preparer
Photographer
Seminar organizer Vice President/President-Elect

Other (Please specify):
Would you like to see the 2008 Michigan Night be held in Polish American Cultural Center again? 您覺得我們明年也在此波蘭中心辦密西根之夜?
Yes_____ 同意 No_____ 不同意 , 我建議在以下地點What places would you recommend?

Other recommendations for MCWA:其他建議