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!