Signup For Mailing List and Become a Member

First Name
Last Name
Chinese Name
Mobile Phone
Address
Address2
City
State
Country
Zip Code
Email*
Mailing List	do you want to receive by mail our Chinese language newsletter and occasional announcements?
Gender	GenderMaleFemale
Student	Are you a student?
Volunteering Interests	Volunteering InterestsWebsite Design & MaintenanceNewsletter ProductionOrganizing & Execution of Special EventsMembership Maintenance & MailingsMembership Liaison & DevelopmentWritten Communications & MarketingWritten or Oral Translation/InterpretationChinese NewsletterOrganize Community Charity EventsMaintaining or Cleaning the CenterCook/Prepare Food for EventsLibrary Maintenance other: Select items where you would be interested in volunteering time to DDMBA Chicago
Email Subscription	Would you like to subscribe to our email mailing lists?
Mailing List Preferences	Mailing List PreferencesGeneral AnnouncementsChan WorkshopOnline WorkshopChinese Dharma ClassTuesday Night MeditationNew Home MailingsChinese Language Newsletter (can be email or mail) Select the email subscriptions you would like to receive.
DDMBA Chicago Participation?	DDMBA Chicago Participation?YesNo Have you Participated in DDMBA Chicago Events or Activities?
Preferred Language of Communication	Preferred Language of CommunicationEnglishMandarin other:
Reference?	Did someone refer you to DDMBA Chicago? Please share their name.
Password	Please enter the password you will use to access your account
CAPTCHA Question*	7 × 3 = ? Please answer the math question so we know you are not a robot. Thanks
Payment Type	Payment TypePayPal - DDMBA Chicago MembershipPay by Check
Pay by Check	Mail your $20 check payment to DDMBA Chicago
Click to pay your Annual Membership Fee: $20