Full name ______________________________________________________________
( First name , Middle name , Last name)
Chinese Characters____________________________________________
Permanent address_______________________________________________________
Mail address_____________________________________________________________
Telephone: Day time #______________________ Night #________________________
Fax #___________________________E- mail_________________________________
Occupation______________________________________________________________
Type of Business_________________________________________________________
Employer’s name_________________________________________________________
How do you know GB Group: By friends, name__________ From Internet__________
From news paper __________ Others_______________
Please fill in the content of your Personal Home Page separately(no more than 16 lines)
___ English Home Page, Please bill me only $60.00 for the year of 1999
___Chinese Home Page, Please bill me only $60.00 for the year of 1999
___Both English and Chinese Home Page, Please bill me $180.00 for the year of 1999
Payment Enclosed___ Check or Money Order Number_____________Date_________
Signature______________________Print Name____________________Date_________
================================================================
Office Use Only
The Form Received By _______________________ Date_________________________
Payment Received By_____Check#________Cash $____Amount________Date_______
Notify the approved to new member By__________________ Date_________________
Edit By_____________Sales By_____________Insert By__________Design By______
Publish By ________________________________ Date__________________________
Company name __________________________________________________________
Address_________________________________________________________________
( Street Suite# , City , State , Zip , Country)
Telephone:______________________Name of contact__________________________
Fax #___________________________E- mail__________________________________
How do you know GB Group: By friends, name__________ From Internet__________
From news paper __________ Others_______________
Please fill in the content of your Company Home Page separately(no more than 16 lines)
___ English Home Page, Please bill us only $600.00 for the year of 1999
___Chinese Home Page, Please bill us only $600.00 for the year of 1999
___Both English and Chinese Home Page, Please bill us $1200.00 for the year of 1999
Payment Enclosed___ Check or Money Order Number_____________Date_________
Signature______________________Print Name____________________Date_________
================================================================
Office Use Only
The Form Received By _______________________ Date_________________________
Payment Received By_____Check#________Cash $____Amount________Date_______
Notify the approved to new member By__________________ Date_________________
Edit By_____________Sales By_____________Insert By__________Design By______
Publish By ________________________________ Date__________________________
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