Dragon Platinum Card Membership Application Form

金龙白金会员卡申请表

  Network to China, never be so much fun and easy!


Benefit for being our club member:


1.    Personal Information (个人资料)

姓名Name

性别Gender

MF

2.    Contact Information:(联系资料)

联系人名/Name

联系人姓/Last

公司名称/Company

地址1/Address line 1

地址2/Address line 2

城市/City

省份/Province

国家/Country

邮编/Postcode

办公室电话/Phone of Office

家庭电话/Home Phone

传真/Fax

电子邮件/Email

网址/Website(URL)

3.    Have you been to China? (中国企业家不用填3,4,5,6)

Yes. No

If yes. please tell us when the first time was. -- d/m/y

4.    Which level do you evaluate your Putonghua(Chinese) level? From bad to Good.

1 2 3 4 5

5.    Which level do you  evaluate your  communication skills with Chinese

1 2 3 4 5

6.    What will you like to know about China?(Briefly)

 

 

7. Input your user name and pass word you can get trial service for one month free. Your password  to Platinum Club intranet website will be mailed to you after approve.请输入你自己喜欢的用户名和密码。

         USER NAME:(Choose your own one)用户名

PASSWORD(6-10digits)密码
(CONFIDENTIAL保密)
Reenter
重新输入
(CONFIRMATION确认)
EMAIL
电子邮件


Note: All the information is collected for the benefits of the cardholders, and will be kept confidentially. We will not confide the information to the third party without the agreement of you. Dragon Platinum Club is a club for Executive Businessmen or equivalent qualification people in both Goochie Putonghua and NIHUI English. The Qualification to a Platinum Club member need to be approved and confirmed by mail.