普通会员申请表

普通会员申请表: Region: Area: Abbotsford BURNABY Chilliwack Colwood COQUITLAM CRANBROOK DELTA FERINE Gabriola INVERMERE KAMLOOPS KELOWNA Langford LANGLEY LUMBY LUND LYTTON MACKENZIE MADEIRA PARK MALAHAT MANSONS LANDING MAPLE RIDGE MARA MARYSVILLE MASSET MAYNE MCBRIDE MCLEOD LAKE MEADOW CREEK MERRITT MERVILLE MILL BAY MILNER MISSION MOBERLY LAKE MONTNEY MOUNT CURRIE MUNCHO LAKE NAKUSP NANAIMO NANOOSE BAY NARAMATA NELSON NEW DENVER NEW HAZELTON NEW WESTMINSTER NIMPO LAKE NORTH SAANICH NORTH VANCOUVER OCEAN FALLS OKANAGAN FALLS OLIVER OSOYOOS OTHERS PARKSVILLE PARSON PEACHLAND PEMBERTON PENDER ISLAND PENTICTON PINK MOUNTAIN PITT MEADOWS PORT ALBERNI PORT ALICE PORT CLEMENTS PORT COQUITLAM PORT EDWARD PORT HARDY PORT MCNEILL PORT MOODY PORT RENFREW POUCE COUPE POWELL RIVER PRINCE GEORGE PRINCE RUPERT PRINCETON PROCTER PROPHET RIVER QUALICUM BEACH QUATHIASKI COVE QUEEN CHARLOTTE QUESNEL RADIUM HOT SPRINGS REVELSTOKE RICHMOND RIONDEL ROBERTS CREEK ROBSON ROCK CREEK ROSEDALE ROSSLAND ROYSTON SAANICHTON SALMO SALMON ARM SALT SPRING ISLAND SANDSPIT SAVONA SAYWARD SCOTCH CREEK SECHELT SETON PORTAGE SHAWNIGAN LAKE SICAMOUS SIDNEY SIRDAR SKOOKUMCHUCK SLOCAN SMITHERS SOINTULA SOOKE SORRENTO SOUTH SLOCAN SOUTHBANK SPARWOOD SPENCES BRIDGE SQUAMISH STEWART SUMMERLAND SUN PEAKS SURREY VANCOUVER VANDERHOOF VAVENBY VERNON VICTORIA WASA WELLS WEST VANCOUVER WESTBANK WHALETOWN WHISTLER WHITE ROCK First Name(名)*: Last Name(姓)*: Restaurant Name(餐館名字)*: Address(地址)*: City(城市): Postal Code (郵編): Phone(電話)*: Email（電郵）: Fax(傳真): Web Site(网址): Cuisine（風味）**: AFGHAN AFRICAN AMERICAN ASIAN AUSTRIAN BBQ BISTRO BRAZILIAN BRITISH BUFFET CAFE CAJUN CARIBBEAN Cart Vendors CASUAL DINING CEYLON CHINESE CONTINENTAL CREPERIE DELI EAST EUROPEAN Ethiopian European FAST FOOD Filipino FRENCH GENERAL GERMAN GREEK INDIAN ITALIAN JAPANESE KOREAN LEBANESE MALAYSIAN MEDITERRANEAN MEXICAN ORIENTAL Pakistani PERSIAN PIZZA SEAFOOD SINGAPOREAN SPANISH SRI LANKAN SWISS Teppanyaki THAI TURKISH Ukrainian VEGETARIAN Vietnamese WEST COAST Other Type: 餐馆中文名 Check Code:   Please type the number into the box. *必须填    **可以多项选择（同时点Control键和鼠标）