悠唐会员申请表
Application for U-TOWN Lifestyle Center Membership |
基本信息
Basic Information |
会员姓名(中文)*
Name (Chinese) |
|
(英文名)
(English) |
|
民族
Race |
|
性别*
Gender |
|
生日
Birthday |
(日期格式:1900/10/10) |
证件号码*
Identification No |
|
邮编*
Zip Code |
|
邮寄地址*
Mailing Address |
|
电话*
Phone No. |
(电话格式:区号-电话号码-分机号) |
手机*
Mobile |
|
电子邮件*
E-Mail |
(邮件格式:test@test.com) |
职业
Occupation |
|
月收入
Salary(RMB) |
|
|
我们想了解您更多
We want more information of you |
你关注哪类商品的信息?(可复选)
What kinds of information would you more interesting? (multiple-choice) |
|
|
您希望收到哪些方面的活动讯息?(可复选)
What kinds of information would you like to receive? (multiple-choice) |
|
|
您希望如何收到商场活动讯息(可复选)*
How would you like to receive the promotional materials? |
|
|
搭乘交通工具
Transportation |
|
|
至悠唐生活广场路程时间
Time Spent Getting to U-Town |
|
|
| |
|
|
请您准确填写信息,右上角有*标记的请务必填写,谢谢!
Please fill in this application form completely.(especially blanks with a*)Thanks! |
| |
感谢您的支持填写以上信息,希望给您提供更好的服务。
Thanks for your kindly feedback, we are looking forward to providing better services for you! |
| |