Lifetime Membership – ACHPPI 国际华人心理与援助专业协会

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$200 USD / One Time (for lifetime access, non-recurring)

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Last Name *

Email Address *

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Additional Info

Chinese Name 中文姓名（请用中文填写真实姓名） *

Gender 性别 *

Institution 所属机构 *

Institution Position 职位/身份 *

Field or Major 专业 *

Highest Degree Earned 最高学位 *

Institution Awarding Degree 毕业院校 *

Year Degree Awarded 毕业年份 *

Street Address 地址街道

City 城市

State / Province 省份/州

Postal / Zip Code 邮编

Country 国家 *

Cellular Number 手机号码

Work Number 工作电话 *

WeChat ID (for invitation to ACHPPI Member WeChat Group; please put N/A if you don't have a WeChat account) 微信号（用于添加至ACHPPI会员微信群；如果没有微信，请填写N/A） *

Preferred Language 主要使用的语言 *

Additional Information 补充信息（非助人行业的学生/从业者，请说明为什么想要加入我们）

I hereby confirm that the information provided is true and accurate 我确认以上填写的信息均真实准确

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