Register Form for join GB Group Member

Register Form for join GB Group Member


Personal member for GB Group
Application Form

YES! I want to join GB group as a member and I would like to place my personal home
page on www.goldbridge.com

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 Member for GB Group
Application Form

YES! We want to join GB group as a company member. Please place our company home
page on www.goldbridge.com

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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