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
City / Town
Province / State
Postal / Zip Code
Country
TELEPHONE NO.
FAX NO.
MOBILE PHONE NO.
*
E-MAIL ADDRESS
COMPANY NAME
COMPANY ADDRESS
City / Town
Provaince / State
Postal / Zip Code
Country
MEMBERSHIP FEE :
CAD $1,000 (Canadian Dollar)
(Our Staff will contact you after the application is confirmed)
CREDIT CARD APPROVAL
I hereby authorize Hotel Panorama Company Limited to charge the above membership fee to my credit card account stated below. I understand that the membership fee is non refundable if the card is cancelled.
My credit card details are as follows:
CARDHOLDER’S NAME
CREDIT CARD TYPE
CREDIT CARD NUMBER
Expiry Date
Date
Please send the Rhombus Diamond Card to
My Company
Pick up at
Hotel Panorama by Rhombus,
Hong Kong, China
Hotel LKF by Rhombus,
Hong Kong, China
Hotel de EDGE by Rhombus,
Hong Kong, China
Hotel Bonaparte by Rhombus,
Hong Kong, China
Hotel Pennington by Rhombus,
Hong Kong, China
Rhombus Fantasia Chengdu Hotel
Chengdu, China
Hotel Verta by Rhombus,
London, United Kingdom
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.