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| Personal Information |
| *mandatory field |
| Name (as on travel document)* |
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| Title* |
Mr.
Mrs.
Ms.
Dr. |
| Family Name* |
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| Given Name* |
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| Gender* |
M
F
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| Date of Birth* |
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| Nationality* |
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| HKID / Passport No.* |
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PRC Travel
Document No.
(if applicable) |
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| Mailing Address* |
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| Tel. No.* |
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| Fax No. |
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| Email Address* |
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| Alternate Contact Person* |
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| Tel. No.* |
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| Estimated trips to China by air per year |
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| How did you hear about us? |
Personal Referral
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Others |
| Annual Income |
US$49,999 or below
US$50,000 - US$99,999
US$100,000 - US$149,999
US$150,000 or above |
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| Joining Fee and Payment* |
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| Credit Card Information |
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VISA
MASTER
JCB
AMEX
DINERS |
| Name of Card Holder |
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| Credit Card Number |
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| Security Code |
How to find the security code on your credit card? |
| Valid Date |
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| Remarks: Your credit card will only be charged after booking and charges is confirmed by our customer service team. |
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I hereby represent that all statements made in this application form are correct and true, and that we have read, understood, and will undertake to observe the terms and conditions in this form as well as the rules and regulations in the membership guidebook. Should I fail to observe these terms and conditions, I will bear all economic and legal liabilities.
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