Dragon Platinum Card Membership Application Form

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:

Receive 20% course Fee discounts with the presentation of the club card on in the year end.（20%的课程免费）
Receive discounts with the presentation of the club card to the designated travel agents.（俱乐部旅游关联企业的折扣）
Join our club night, and network with worldwide top entrepreneurs.（参加俱乐部联谊会，建立国际化的企业家网络）
Join in the Affiliated Golf club worldwide.（在俱乐部各地的高尔夫俱乐部打高尔夫球）
Receive other discounts in our Affiliated Companies worldwide（俱乐部其他关联企业的折扣）
Assistances of Business in China for Free.（在世界各地的英语服务）
Receive semi-monthly newsletter.（免费俱乐部简报）

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.