Fields marked with " * " are mandatory.
*
PREFIX
Mr.
Mrs.
Ms.
Miss
Dr.
*
NAME
Family Name
Given Name
*
DATE OF BIRTH
DD
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MM
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HOME ADDRESS
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Country
TELEPHONE NO.
FAX NO.
MOBILE PHONE NO.
*
E-MAIL ADDRESS
COMPANY NAME
COMPANY ADDRESS
City / Town
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Country
MEMBERSHIP FEE :
CAD $1,000 (Canadian Dollar)
(Our Staff will contact you after the application is confirmed)
*
Please send the Rhombus Diamond Card to
My Company
*
Pick up at
Hotel LKF by Rhombus
Hong Kong, China
Hotel de EDGE by Rhombus
Hong Kong, China
Hotel Bonaparte by Rhombus
Hong Kong, China
Rhombus Fantasia Chengdu Hotel
Mainland China
Hotel Verta by Rhombus
London, England
Hotel Panorama by Rhombus
Hong Kong, China
My home
*
I agree to abide and be bound by the terms and conditions of Rhombus Diamond Card Membership. I accept and agree that Rhombus Diamond Card Membership Terms and Conditions can be modified or terminated upon reasonable notice where it is possible and/or practical to give such notice.